• Incorrect attachment and positioning
• Engorgement
• Has not established an effective suckling pattern
• Candidiasis
• Short prenulum (rare)
How to manage Sore Nipple
- Stimulate pre-suckling milk ejection reflex
- Apply moist heat and massage before feeding.
- Begin each feeding on the least involved side.
- Frequent , short feeding
- Proper attachment, positioning and removal technique.
- Assure lips are flanged out.
- Apply breast milk to nipples before and after nursing.
- Dry/sun exposure.
- Avoid engorgement – nurse more frequent.
- Mild analgesic.
- Avoid irritating substances.
- Treatment for candidiasis.
- Dermatitis treatment
- Avoid plastic lining bra, pads and nylon bra
Advices:
- DO NOT use a nipples shield.
- Cause nipple confusion
- reduces milk supply
- health risk – due to contamination
- DO NOT stop breastfeeding.
- to prevent engorgement.
- try to express milk by hand
- DO NOT limit the frequency of breastfeeding.
- DO NOT apply any oil-based or inedible substances to the nipples.
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