Breastfeeding problems

Sore nipples, engorgement, or fatigue convince other women that they should stop. Here are solutions to all these problems. If you need more hands-on help, call your hospital or family doctor for a referral to a lactation specialist. These experts can show you or tell you how to solve a breast-feeding problem.

Cracked and sore nipples

The key to preventing sore nipples is to ensure that your baby latches on correctly. Nipple pain will decrease once you and your baby have developed a proper latch.

To soothe sore nipples after each feeding, rub a few drops of colostrum or hindmilk into your nipples. (Hindmilk has antibacterial properties.) Expose your breasts to air and light as often as possible. Use a blowdryer on a low setting for several minutes to improve drying, circulation, and healing.

Soap can irritate your nipples. When you're bathing, you'll find that water is sufficient to wash your breasts. Beware of products that promise a quick cure.

Nipple creams are not recommended. The Canadian Institute of Child Health (CICH) notes that there are no studies showing topical applications to be of any benefit, and the institute points out that the vitamin E and unpurified lanolin in some of these products can be harmful to your baby.

Nipple shields can significantly reduce your milk supply and the infant's milk intake, and interfere with suckling. If you choose to use shields, have your baby weighed regularly to ensure that he's gaining weight adequately.

Flat or inverted nipples

If you have flat or inverted nipples, you may have heard that you won't be able to nurse. Don't believe it! Babies breast-feed, they don't nipple-feed. If your baby is able to latch on correctly, receiving a good mouthful of breast, then flat or inverted nipples will not likely cause a problem. Before feeding, gently roll your nipple between your thumb and forefinger to help the nipple stand out. As for breast shells for inverted nipples, a recent multi-centred trial found that they only overcomplicate the breast-feeding process.