Women’s health – Sore Nipple

Causes of Sore Nipple
•         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:

  1. DO NOT use a nipples shield.
    1. Cause nipple confusion
    2. reduces milk supply
    3. health risk – due to contamination
  1. DO NOT stop breastfeeding.
    1. to prevent engorgement.
    2. try to express milk by hand
  1. DO NOT limit the frequency of breastfeeding.
  2. DO NOT apply any oil-based or inedible substances to the nipples.

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