Nipples Feeding
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Verywell Family's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved
Verywell Family is part of the Dotdash publishing family.
The nipple is the area on your breast that is usually slightly raised in the center of the areola. Each nipple has many small openings that lead to the milk ducts and allow breast milk to flow out of your breast to the baby. The size and shape of nipples vary from woman to woman.
Flat nipples are not raised. They appear to lay even with the areola and the surrounding skin on your breast. Flat nipples do not stick outward from the breast, but they don't turn inward (inverted nipples) either.
Many women have nipples that appear flat most of the time, but then become erect when they are exposed to cold temperature or sexual stimulation. These are not truly flat nipples. True flat nipples do not respond to cold or arousal. However, even if you have nipples that remain flat all the time, they will often start to protrude outward during your pregnancy .
If you have protruding nipples, you may also experience flat nipples if your breasts become engorged . When your breasts become overfull with breast milk , they can become hard and swollen. This can cause your nipples to become flat and make it more difficult for your baby to latch on. 1
In general, flat nipples do not usually interfere with breastfeeding. Most newborns can latch on to flat nipples without much of a problem. And, as long as your baby can latch on to your breast properly, they will be able to draw your nipples out.
Here are 6 tips to keep in mind if you're breastfeeding with flat nipples.
If you have any concerns about your nipples or if you are having difficulty latching your baby on to your breast seek help as soon as possible. A lactation consultant, your doctor, your baby's doctor, or a local breastfeeding group can provide assistance.
Sioned Hilton, health visitor, neonatal nurse and lactation consultant: Mum-of-three Sioned has been supporting families with babies and young children for more than 30 years. As well working with breastfeeding and expressing mothers, both in hospitals and the community, she contributes to parenting magazines and conferences, and delivers workshops for healthcare professionals.
Breastfeeding nipple care tips
Only wash your breasts with water when you bath or shower. The little bumps (Montgomery glands) on your areolae produce an oil that moisturises and protects your nipples. Soaps and shower gels can strip this natural oil, causing dryness and irritation. 6
Air-dry your nipples or dab them gently with a towel. Women used to be told to rub their nipples to toughen them up, but this isn’t advised any more – thank goodness!
There’s no need to clean the breast or nipples before breastfeeding. In fact, bacteria from the surface of your breast can help develop your baby’s gut microbiome. 7
Fresh breast milk can help heal damaged nipples, 8 so try massaging a few drops into them before and after feeds.
Change nursing pads frequently if they become damp to reduce the risk of bacterial or fungal infections, including thrush. 6
Avoid increasing the gap between breastfeeds to ‘rest’ your nipples. Your baby needs to feed on demand to stay healthy and grow well. Remember, frequent feeding builds and maintains your supply, so keep feeding through any soreness. 9
Useful nipple care products
Nipple cream made from ultra-pure lanolin – a natural product obtained from sheep’s wool. This moisturises and supports healing. It’s harmless for your baby, so there’s no need to wash off lanolin before breastfeeding.
Hydrogel pads can be placed on sore nipples to offer instant breastfeeding pain relief, as well as creating ideal conditions for healing. You can even keep them in the fridge for cooling comfort.
Breast shells fit inside your bra. They’re great for stopping clothing rubbing against sore nipples, and have holes in so air can still get to your nipples to help them heal.
Nursing bras made from either a breathable material like cotton, or a fabric that dries quickly and wicks excess moisture away from damaged nipples.
Nipple shields are silicone covers that fit over your nipples, with small holes for your breast milk to flow through as you breastfeed. They protect the skin underneath and can give a baby with a poor latch something firmer to attach to. In general nipple shields should be considered a short-term solution. If problems or pain occur, consult your lactation consultant or breastfeeding specialist.
Although breastfeeding is good for you and your baby, it can be hard on your nipples! Read our advice and tips on nipple care to help keep soreness at bay
“Breastfeeding shouldn’t hurt” is a mantra new mums often hear. But many find the reality is rather different in the early days.
For starters, during pregnancy most women’s nipples become larger and more sensitive. And when your newborn starts feeding from them he creates pressure and suction unlike anything they’ve ever experienced before (well, if you’re a first-time mum at least).
Breastfeeds can take a long time too – sometimes up to an hour – and your baby may feed up to 13 times a day . 1 All this new suction, pressure and saliva can result in sore nipples.
Think about lips that get sore or cracked from the wind or sun. The more you wet them by licking them, the more dry and damaged they get – so you moisturise to soothe and protect them and to help them heal. It’s the same with your nipples.
However, soreness shouldn’t last long as you and your baby should become accustomed to breastfeeding during the first couple of weeks. Treating problems promptly is essential for preventing further damage. So if your nipples crack, start bleeding, or are excruciatingly sore, speak to a lactation consultant or breastfeeding specialist as soon as you can. 2
However, prevention is better than cure – so read my troubleshooting tips below.
The key to pain-free breastfeeding is a good latch . When your baby is latching on, aim your nipple towards the roof of his mouth. This should help him latch on to the nipple, as well as some of the areola (the circle of darker skin around the nipple) beneath it. Having both the nipple and some of the breast tissue into his mouth like this will help him feed properly. 3
Get your baby’s latch checked by a lactation consultant or breastfeeding specialist in the first few days. They’ll give you advice on overcoming any problems and may suggest alternative breastfeeding positions to help you feed your baby as painlessly as possible.
Tongue-tie (ankyloglossia) affects 4 to 11% of newborns. 4 It means the strip of skin that attaches the tongue to the bottom of the mouth, called the lingual frenulum, is too short. A tongue-tied baby may not be able to open his mouth wide enough to take in plenty of your breast when he feeds, and his tongue probably won’t cover his lower gum while he sucks. The result can be sore nipples for you and frustration for him.
A healthcare professional, lactation consultant or breastfeeding specialist needs to assess your baby to confirm a tongue-tie. It can be treated with a simple procedure called a tongue-tie division if necessary. Carried out by a healthcare professional, this doesn’t usually require anaesthetic and may help resolve feeding problems immediately. 5
There is a similar, but rarer, condition called a lip-tie, where the frenulum attaching the upper lip to the top gum is too short. Tongue-ties and lip-ties aren’t always picked up in neonatal checks, so if you think one of these could be causing your nipple pain, seek advice quickly. 4
Once your baby and your nipples are used to breastfeeding, it’s true it shouldn’t hurt. It’s worth reiterating that the number one cause of sore nipples is a poor latch. If one breastfeeding expert hasn’t been able to resolve your nipple pain, try another, and another if necessary.
If your nipple pain persists or you notice unusual symptoms, see a lactation consultant or breastfeeding specialist. White spots or flakiness on your nipples could be thrush, whitish or blueish nipples could be caused by a circulatory disorder such as Raynaud’s disease (vasospasm), and pus or hot redness are signs of infection. 2
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Nipples Feeding
