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Do nipples get sore even with a good latch?

Understanding Nipple Soreness Despite a Good Latch
Breastfeeding is often portrayed as a natural and beautiful bonding experience between mother and child. However, many mothers report experiencing nipple soreness, even when they believe their baby has achieved a good latch. This phenomenon raises important questions about the complexities of breastfeeding and the various factors that can contribute to nipple discomfort.
The Nature of Nipple Sensitivity
It is essential to recognize that some degree of sensitivity in the nipples is common, especially in the early days of breastfeeding. After childbirth, a mother’s body undergoes significant changes, and her nipples may be adjusting to the new demands of nursing. This sensitivity can manifest as tenderness or mild discomfort, which is generally considered normal. However, persistent pain or soreness is not typical and often indicates an underlying issue.
Latch Quality and Its Impact
While a proper latch is crucial for effective breastfeeding, it is not the sole determinant of nipple comfort. A good latch means that the baby is not only latched onto the nipple but also taking in a significant portion of the areola. If the latch is shallow—meaning the baby is primarily latched onto the nipple—it can lead to increased pressure and pain. Even with a seemingly good latch, factors such as the baby’s positioning, the mother’s breast anatomy, and the baby’s feeding technique can influence the level of discomfort experienced.
Potential Causes of Soreness
Several factors can contribute to nipple soreness, even when a good latch is achieved:
1. Initial Sensitivity: New mothers often experience heightened sensitivity in the first few days postpartum. This sensitivity can lead to discomfort during breastfeeding, even if the latch appears correct.
2. Nipple Trauma: If the baby is not latched correctly, it can cause trauma to the nipple, resulting in cracks or fissures that lead to pain. This is particularly common in the early stages of breastfeeding when both mother and baby are still learning.
3. Infections and Allergies: Conditions such as thrush or allergic reactions to creams or soaps can also cause nipple soreness, independent of the latch quality.
4. Breastfeeding Technique: The technique used by the mother and the baby can significantly affect comfort levels. For instance, if the baby is not positioned correctly or if the mother is tense, it can lead to discomfort.
When to Seek Help
If nipple soreness persists or worsens, it is crucial for mothers to seek assistance. Consulting with a lactation consultant or healthcare provider can help identify any issues with latch or technique and provide strategies to alleviate pain. Additionally, they can offer guidance on proper positioning and other techniques to enhance the breastfeeding experience.
In conclusion, while a good latch is fundamental to successful breastfeeding, it does not guarantee the absence of nipple soreness. Understanding the various factors that contribute to discomfort can empower mothers to seek help and make adjustments, ensuring a more pleasant breastfeeding journey.

How to get a deeper latch?

With your baby’s head tilted back and chin up, lift him or her to touch your nipple. The nipple should rest just above the baby’s upper lip. Wait for your baby to open very wide, then “scoop” the breast by placing the lower jaw on first. Now tip your baby’s head forward and place the upper jaw well behind your nipple.

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.

Why are my nipples sore even with a good latch?

If your baby is properly positioned and attached at the breast during feeds and your nipples are still sore, ask your midwife, health visitor or breastfeeding supporter for help. There may be an underlying problem, such as an infection like thrush.

Can a baby have a good latch but it still hurts?

Initial latching pain/discomfort is normal. It should last less than 30 seconds in any feed and be gone completely in a few days just as the uterus afterpains are. Just as those uterus afterpains can be managed, so can the latch. Some mums will use painkillers, and some will use their labour breathing techniques.

When does initial latch pain go away?

Although it may be normal to feel some nipple tenderness in the first few days of nursing, especially during the first 30 to 60 seconds after your baby has latched on, it’s not normal to have prolonged soreness beyond the first week.

How to get baby to latch deeper?

With your baby’s head tilted back and chin up, lift him or her to touch your nipple. The nipple should rest just above the baby’s upper lip. Wait for your baby to open very wide, then “scoop” the breast by placing the lower jaw on first. Now tip your baby’s head forward and place the upper jaw well behind your nipple.

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.

Should I stop breastfeeding if my nipples are sore?

If you can, continue breastfeeding. If it’s too painful, you may need to take your baby off the breast for 12 to 24 hours, rest your nipple and feed your baby expressed breast milk. It might be less painful if you use a nipple shield.

What is a good latch supposed to feel like?

Signs of a good latch include the following: The latch feels comfortable to you and does not hurt or pinch. Your baby’s chest rests against your body. Your baby does not have to turn his or her head while drinking.

How long before latching on stop hurting?

Although sore or tender nipples are common during the first few days of breastfeeding, it should improve. Normal soreness or pain usually occurs for about a minute when the baby first latches on to the breast. For minor discomfort, you can try home treatment.

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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