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Breastfeeding with damaged nipple can feel like they’re being sliced with razor blades or burned with a hot poker. Find out how to prevent and heal your nipples so that you can enjoy nursing your baby in comfort. Signs & SymptomsSome tenderness of the nipples (without broken skin) during the first week or two of breastfeeding is perfectly normal. However, burning, throbbing or shooting pain in your nipple when your baby latches on is not normal and probably means a crack has developed. A grazed, fissured, blistered or cracked nipple is extremely painful. Occasionally a damaged nipple can become infected, resulting in inflammation, redness, swelling and oozing pus. A cracked nipple increases the risk of mastitis (breast infection) developing. Bleeding commonly occurs when nipples are cracked. Sometimes blood can be seen in the baby's mouth or in milk when it is brought back up. Babies often vomit back milk with blood in it. CausesApproximately 80% of new mothers experience sensitive or tender nipples within the first few days of breastfeeding. This discomfort, which is due to hormonal changes and your nipples adjusting to breastfeeding, usually peaks on the 4th or 5th day and then lessens each day after that. Any soreness will generally have disappeared by the time your baby is 2 weeks old and breastfeeding should then be pain free. Nipple soreness that extends beyond 2 weeks post delivery is not normal; nor is grazed, cracked, blistered or bleeding nipples. These problems are usually due to one or more of the following causes... 1. Positioning and latchThe number 1 cause of damaged nipples is a poor latch. Incorrect positioning of your baby or yourself can contribute to a poor latch. A poor latch may result in your baby not taking your nipple into her mouth deeply enough, so your nipple becomes abraded as it is rubbed against the edge of her hard palate. (With a deep latch this cannot occur). Or your baby's jaws may clamp down hard on your nipple. The clampdown bite reflex causes pain as the bite cuts off the blood supply to the nipple. After feeding you can see a white stripe on your nipple temporarily until blood flow returns. In some cases the nipple may become bruised. Changing your baby's position and the way you sit can sometimes help. 2. Prolonged moistureIf your nipples remain moist for long periods of time this causes softening of the skin which increases the risk of damage. Moisture can be retained by not drying your nipple after each feed; by wearing soggy breast pads; or by using plastic breast shields or plastic-lined nursing pads that hold in the moisture. 3. Removing natural oilsYour nipples produce their own natural lubricants that protect them from the effects of moisture and provide anti-bacterial properties. Over-washing or the use of chemicals can strip away your nipples natural protection, making them more vulnerable to cracking (in a similar way to chaffed lips). Soaps and shampoos can strip away natural oils. Nipple creams and lotions that need to be removed before breastfeeding can make the problem worse. Many products that were once recommended to treat cracked nipples, such as Tinc benz co. and methylated spirits are no longer recommended due to their drying effects. 4. ThrushSore, itchy or cracked nipples may mean you have thrush. Thrush is due to a overgrowth of a yeast-like fungus called Candida albicans. A nursing mother's nipple can become infected when her baby has oral thrush. Thrush may affect one of both nipples; it can also enter the breast. The pain from a thrush breast infection has been described as a burning hot knife or shooting pain through the breast during or after feeding is over. Whereas the pain associated with a poor latch hurts most when a baby first latches on but improves as the baby nurses. 5. Dermatitis, eczema or psoriasisIf you have a history of these conditions, they can also be a reason for sore or cracked nipples. Treatment1. Before breastfeeding
2. During breastfeeding
3. When it's just too painful to feed
4. After breastfeeding
5. Between breastfeeds
Don't give up!It usually takes only a day or so for your nipples to heal once you have your baby latching on and sucking effectively. If a cracked nipple persists longer than 2 days without signs of improvement consult with a lactaction consultant so that she can observe your latch technique and your baby's sucking pattern. When to see a doctorSee a doctor if you experience any of the following...
FAQ's1. How will I know if my baby swallows blood from my nipple?You may see blood in your baby's mouth or it may be seen in milk if he spits up. This will not harm your baby. 2. Will my nipples heal faster if I temporarily stop breastfeeding?Studies have shown no difference in healing time for mothers who continue to breastfeed with cracked nipples compared to those who "rest" their nipples. However, as continued breastfeeding will reduce the risk of other complications, such as engorgement, mastitis, and low milk supply, it should be continued where possible. 3. Will a nipple shield help?Many women who have tried nipple shields find that they don't help with soreness. As nipple soreness is nearly always due to incorrect latch, using a nipple shield will do little to correct the problem, and in some situations may make the problem worse. Once your baby gets used to a nipple shield, it may be difficult to get her back onto the breast. Because nipple shields can affect milk supply they should be used only as a last resort. 4. Will nipple creams help?Some creams and ointments commonly sold for the treatment of sore nipples may actually impede healing by preventing air circulation or by drying out of the skin. Avoid the use of any creams and ointments that need to be washed off prior to nursing. Written by Rowena Bennett © Copyright www.babycareadvice.com 2020. All rights reserved. Permission from author must be obtained to copy or reproduce any part of this article. |