Nipple Discomfort During Lactation: How to Provide Safe Care?
Disease description:
Breastfeeding was initiated right after the baby's birth. Recently, I noticed that my nipples have become red, swollen, and painful, with slight cracking, causing significant discomfort during breastfeeding. I am concerned that this might affect my breastfeeding plan, and I am also afraid that using any medications may impact my baby's health. I would like to know how to properly care for nipple discomfort in a safe and effective manner while continuing to breastfeed.
Doctor's answer (1)
Dr. Zhang Lu
Nipple discomfort during lactation is quite common, often caused by excessive nipple friction, improper sucking by the baby, poor hygiene, nipple congestion and sensitivity, cracking, or mastitis. These factors can lead to redness, swelling, pain, and cracking of the nipples and may even induce mastitis.
It is recommended to adjust the breastfeeding position to ensure the baby's lips fully cover the areola. Limit breastfeeding to 15–20 minutes per session, and try different positions to find the most suitable one, distributing the sucking force and reducing pressure on the nipples. Secondly, clean the nipples with warm water only, avoiding harsh substances like soap. After breastfeeding, apply pure lanolin ointment or natural nipple cream to maintain moisture. Additionally, keep the nipples dry by gently patting them with a soft cloth. Alternating warm and cold compresses may also help: apply a warm compress before feeding to promote circulation and a cold compress after feeding to reduce swelling and pain.
Furthermore, wear loose-fitting cotton underwear to reduce pressure, and increase intake of foods rich in vitamin E, vitamin C, and zinc to support wound healing.
If nipple pain persists or is accompanied by redness, swelling, fever, or other concerning symptoms, seek medical attention promptly. If necessary, use a safe topical antibiotic ointment under medical guidance, and ensure adequate rest for the mother during treatment.
