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Is it better to pump or breastfeed with cracked nipples?

The Dilemma of Cracked Nipples: Breastfeeding vs. Pumping
For new mothers, the journey of breastfeeding can be both rewarding and challenging. One of the most common issues faced is the painful experience of cracked or bleeding nipples. This condition can lead to a significant dilemma: should one continue breastfeeding directly or switch to pumping? Each option carries its own set of advantages and disadvantages, particularly in the context of healing.
Understanding Cracked Nipples
Cracked nipples are often a result of improper latch or positioning during breastfeeding. This painful condition can make the act of nursing excruciating, leading many mothers to consider alternatives. According to health experts, sore or bleeding nipples are among the primary reasons women discontinue breastfeeding altogether. The discomfort can be so severe that some mothers find it difficult to maintain a consistent breastfeeding routine.
Breastfeeding: The Comfort of Direct Feeding
Breastfeeding directly from the breast offers unique benefits. It not only provides essential nutrients to the baby but also fosters a close bond between mother and child. The act of breastfeeding can be comforting for the baby, promoting emotional security. However, for mothers with cracked nipples, this method can be fraught with pain. Experts suggest that with the right support and techniques, many mothers can overcome the challenges of sore nipples and continue breastfeeding successfully.
Pumping: A Temporary Solution
On the other hand, pumping breast milk can serve as a viable alternative for mothers dealing with nipple pain. By expressing milk, mothers can allow their nipples to heal while still providing their babies with the benefits of breast milk. Pumping offers the advantage of flexibility; caregivers can feed the baby with a bottle, allowing others to participate in feeding. However, it’s important to note that pumping can also come with its own set of challenges, such as the need for proper equipment and the potential for decreased milk supply if not done correctly.
Healing and Support
For mothers experiencing cracked nipples, the priority should be healing. Many healthcare providers recommend a combination of both methods: breastfeeding when possible, but also incorporating pumping to reduce pain and allow for recovery. Techniques such as ensuring a proper latch, using nipple creams, and taking breaks between feedings can also aid in healing.
Ultimately, the decision between breastfeeding and pumping should be based on individual circumstances, including the severity of the pain, the baby’s feeding habits, and the mother’s comfort level. Consulting with lactation specialists can provide tailored advice and support, helping mothers navigate this challenging phase while ensuring their babies receive the best nutrition possible.
In conclusion, while both breastfeeding and pumping have their merits, the choice largely depends on the mother’s situation and her ability to manage pain. With the right strategies and support, many mothers can find a balance that works for them and their babies, ensuring a positive breastfeeding experience despite the challenges of cracked nipples.

Is pumping or nursing better for cracked nipples?

If breastfeeding is too painful
Hand express or pump to maintain your milk supply while your nipples heal. If the baby is not latching, pump 8 – 12 times daily until your milk stops flowing, generally around 15 – 20 minutes per breast or a total of 15 – 20 minutes if double pumping.

Can cracked nipples cause low milk supply?

If it gets worse, your nipples may bleed or develop sores or scabbing. If you become reluctant to nurse or pump because of the pain, you may develop engorgement or mastitis, and the condition may affect your milk supply.

Can I keep pumping with cracked nipples?

If your sore nipples are causing you so much discomfort that you feel like you need to take a break from breastfeeding, don’t worry! You can still use a breast pump to express your milk. This will give your nipples a rest, while allowing you to continue to give your baby all the benefits breastmilk can provide.

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 is the best feeding position for cracked nipples?

Laid back positioning.
This position is often the most comfortable. A study by Milinco, et al (2018) showed that these positions can reduce the numbers of mothers experiencing nipple pain and damage by 58%. In these positions you recline back to an angle of between 15-65 degrees and baby lays on his tummy on your body.

What is the fastest way to heal cracked nipples from breastfeeding?

Using a lanolin ointment specifically designed for breast-feeding mothers will help promote moist wound healing. Apply to nipples after breast-feeding. It doesn’t need to be removed before nursing your baby.

Does breast milk heal cuts faster?

The antibody IgA is abundant in breast milk and forms an antimicrobial protective layer that can reduce infection risk and promote healing. You can also use breast milk like an antibiotic ointment on superficial scrapes—although you should never apply it to open wounds or deep cuts.

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.

How do you fix a shallow latch when breastfeeding?

You may also need to use the exaggerated latch or flipple technique

  1. Hold your breast and shape it so that your nipple is pointing up against your baby’s nose.
  2. Shape your breast like a hamburger in line with the baby’s mouth.
  3. Wait till your baby roots and opens it’s mouth very wide.

Should you feed through cracked nipples?

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.

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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