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Why do my nipples hurt even with a good latch?

Understanding Nipple Pain Despite a Good Latch
Experiencing nipple pain while breastfeeding, even with what seems to be a good latch, can be perplexing and distressing for many new mothers. While a proper latch is crucial for a comfortable breastfeeding experience, several factors can contribute to nipple discomfort that may not be immediately apparent.
Common Causes of Nipple Pain
1. Hormonal Changes: Hormonal fluctuations, particularly those related to menstruation, pregnancy, or postpartum recovery, can lead to breast and nipple tenderness. Estrogen and progesterone levels rise and fall during these periods, causing breast tissue to swell and become sensitive. This sensitivity can manifest as pain, even when the latch is technically correct.
2. Nipple Sensitivity: Some women naturally have more sensitive nipples, which can lead to discomfort during breastfeeding. This sensitivity can be exacerbated by environmental factors, such as dry air or friction from clothing.
3. Inverted or Flat Nipples: Even with a good latch, anatomical variations like inverted or flat nipples can cause pain. These conditions may require specific techniques or tools, such as nipple shields, to facilitate a more comfortable feeding experience.
4. Thrush or Infection: Fungal infections like thrush can cause significant nipple pain. This condition often presents with a burning sensation and may be accompanied by other symptoms, such as a rash on the baby’s mouth. If you suspect an infection, it’s essential to consult a healthcare provider for appropriate treatment.
5. Mastitis: This is an infection of the breast tissue that can occur during breastfeeding. Symptoms include localized pain, swelling, and sometimes fever. Mastitis can develop even if the latch is good, particularly if there are issues with milk drainage.
6. Overactive Letdown: A forceful milk ejection reflex can lead to discomfort during feeding. If the milk flows too quickly, it can cause the baby to latch and suck in a way that is uncomfortable for the mother, leading to pain.
Seeking Relief
If you are experiencing nipple pain despite a good latch, it’s important to address the issue proactively. Here are some strategies that may help alleviate discomfort:
– Adjust Feeding Positions: Experimenting with different breastfeeding positions can sometimes relieve pressure on sensitive areas.
– Nipple Care: Keeping the nipples moisturized with lanolin or other nipple creams can help soothe irritation.
– Consult a Lactation Consultant: If pain persists, seeking advice from a lactation consultant can provide personalized strategies to improve comfort during breastfeeding.
Conclusion
Nipple pain during breastfeeding, even with a good latch, can stem from various factors, including hormonal changes, anatomical variations, infections, and more. Understanding these potential causes is the first step toward finding relief and ensuring a more comfortable breastfeeding experience. If pain continues, don’t hesitate to reach out to healthcare professionals for support and guidance.

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.

How long before latching on stop hurting?

It should not last for the duration of the feed, and within a few days (for most it is less than a week) the latch pain is gone and breastfeeding should be entirely painless from start to finish. Perhaps the ligaments have loosened a little by this point.

How to encourage a deeper latch?

These tips help you get a good latch—and know if you have one.

  1. Tickle your baby’s lips with your nipple. This will help baby open their mouth wide.
  2. Aim your nipple just above your baby’s top lip. Make sure your baby’s chin isn’t tucked into their chest.
  3. Aim your baby’s lower lip away from the base of your nipple.

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.

Can nipples hurt with a good latch?

If the baby is latched correctly, you should not feel pain. Remember, some discomfort may be felt in the first 30-60 seconds. If you’re experiencing pain during the feeding, pull down on the baby’s chin to bring the lower lip out. If pain persists, decrease the suction by placing your clean finger inside baby’s mouth.

When should I be concerned about sore nipples?

Sore nipples should be a cause for concern when the pain is accompanied by discharge or lumps, as this may indicate the need for immediate evaluation by a healthcare provider.

How long is too long for sore nipples?

If your pain continues beyond the first few weeks, talk to your healthcare provider. Most breastfeeding pain resolves within the first month of breastfeeding. If you’re pumping breast milk, you can experience nipple pain from using a breast shield (also called a breast pump flange) that’s the incorrect size.

How do you fix a painful latch?

Signs that baby isn’t latching properly
If you feel nipple pain while nursing, something’s not right. This means your baby is likely chewing on your nipple instead of gumming the areola. The fix: Unlatch (break the suction by putting your finger into the corner of her mouth), and try again.

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.

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.

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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