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Can nipples hurt with a good latch?

Understanding Nipple Pain During Breastfeeding
Breastfeeding is often portrayed as a natural and nurturing experience, yet many mothers encounter discomfort, including nipple pain, even when their baby has a seemingly good latch. This paradox raises important questions about the breastfeeding process and the factors that contribute to nipple sensitivity.
The Importance of a Good Latch
A good latch is crucial for effective breastfeeding. It involves the baby taking a large mouthful of breast, which should ideally prevent pain. According to experts, when a baby latches correctly, the mother should feel comfortable, and there should be no pinching or discomfort during feeding. However, achieving this perfect latch can be a learning process for both mother and baby, and even with proper technique, pain can still occur.
Reasons for Nipple Pain Despite a Good Latch
1. Nipple Vasospasm: One of the lesser-known causes of nipple pain is nipple vasospasm, a condition where the blood vessels in the nipple constrict, leading to sharp pain. This can happen even when the latch appears to be correct.
2. Sensitivity and Damage: The nipples are among the most sensitive areas of the body. Factors such as hormonal changes during pregnancy and breastfeeding can heighten sensitivity. Additionally, if the latch is not perfect, it can lead to damage or irritation, resulting in significant pain.
3. Infections and Other Conditions: Conditions like mastitis, which is an infection of the breast tissue, can also cause nipple pain. This condition often arises from blocked milk ducts and can lead to swelling and discomfort. Other potential causes of nipple pain include allergic reactions or skin conditions that may not be directly related to breastfeeding.
4. Learning Curve: Breastfeeding is a skill that requires practice. New mothers may experience discomfort as they and their babies learn to navigate the breastfeeding process. Even with a good latch, initial feeds can be uncomfortable as both parties adjust.
Managing Nipple Pain
For mothers experiencing nipple pain, it is essential to assess the latch regularly. If pain persists, it may be beneficial to consult a lactation consultant who can provide personalized guidance and support. Techniques such as ensuring the baby is latched deeply and correctly can help alleviate discomfort. Additionally, addressing any underlying conditions, such as vasospasm or infections, is crucial for long-term comfort.
In conclusion, while a good latch is fundamental to a positive breastfeeding experience, it does not guarantee the absence of nipple pain. Understanding the various factors that contribute to discomfort can empower mothers to seek appropriate solutions and support, ensuring that breastfeeding remains a rewarding experience.

Can breastfeeding hurts even with good latch?

It may look like your baby is well latched from the outside but your nipple may still be getting pinched. If you have tried to improve the positioning and latch but you still feel intense pain, seek help. Some discomfort when latching in the early days is common as you and your baby are learning.

Can nipples be too sensitive to breastfeed?

Nipple or breast pain is not a normal part of breastfeeding. Your nipples may be sensitive in the first few days after birth and while breastfeeding, but sore nipples or breasts indicate a problem. If you feel pain, you should seek help immediately.

Why does my baby pull away and cry while breastfeeding?

Sometimes, your milk lets down so fast that your baby can have trouble swallowing the amount of milk that’s being released. Because of this, your baby may act fussy at breast or choke and sputter at the breast, and he or she may be quite gassy.

Can breastfeeding hurt even with a good latch?

It may look like your baby is well latched from the outside but your nipple may still be getting pinched. If you have tried to improve the positioning and latch but you still feel intense pain, seek help. Some discomfort when latching in the early days is common as you and your baby are learning.

What do nipples look like after a good latch?

Your nipple should be round after a feed. If it is lipstick-shaped or flat, this may indicate that baby may not have had a full mouthful of your breast.

Why are my nipples so sore after latching?

When you first start breastfeeding, you may have sore or sensitive nipples. This is very common in the first week of breastfeeding, and is usually because your baby is not latching on (attached) properly. If you do have nipple pain, speak to your midwife, health visitor or breastfeeding specialist as soon as possible.

What does a clogged milk duct feel like?

A plugged milk duct feels like a sore lump in the breast. Some mothers seem to be more likely to get them. Usually they go away within a few days without doing anything. They often happen when a mother makes more milk than normal.

Do I need to squeeze my breasts while breastfeeding?

By compressing your breast you will encourage your milk to flow which will provide your baby with more milk. Place your hand around the breast close to your chest wall and compress your breast without causing pain.

What does a blocked milk duct feel like?

A plugged milk duct feels like a tender, sore lump or knot in the breast. It happens when a milk duct does not drain properly. Pressure builds up behind the plugged duct, and the tissue around it gets irritated. This usually happens in one breast at a time.

What are some signs of an effective latch?

Signs of a Good Latch

  • The latch is comfortable and pain free.
  • Your baby’s chest and stomach rest against your body, so that baby’s head is straight, not turned to the side.
  • Your baby’s chin touches your breast.
  • Your baby’s mouth opens wide around your breast, not just the nipple.
  • Your baby’s lips turn out.
Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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