Breastfeeding is natural and beneficial to both mom and baby. Breast milk is tailored feed by feed to your babies’ individual needs. Breastfeeding also creates a remarkable bond between mother and baby. For mothers, breastfeeding also has numerous health benefits such as improved mental health and reduced risk of certain cancers like breast and ovarian. For many mothers, the beginning of the breastfeeding process can be uncomfortable and even painful, and some mothers even experience issues farther along in their breastfeeding journey. Because of these challenges, many women discontinue breastfeeding early. Let’s discuss the causes of painful breastfeeding, if it is normal, and when to seek help from a Board Certified Lactation Consultant.
Understanding Breastfeeding Pain:
In the early days and weeks of breastfeeding, breast tenderness is normal, especially for first time mothers who are learning to breastfeed. During the first days, the breasts undergo many changes as milk comes in and changes from colostrum, to transitional milk and finally to regular breastmilk. During this process, women experience engorgement which can be uncomfortable and sometimes painful. You may also experience some nipple soreness or pain.
Symptoms to watch for
- Sharp, painful, persistent pain during or between breastfeeding
- Cracked, bleeding, or blistered nipples
- Lumps deep in the breast (possible sign of clogged duct)
- Fever/ flu-like symptoms
Common Causes of Pain During Lactation:
Poor latch:
The most common cause of painful breastfeeding is a poor or improper latch. Signs of a poor latch include a latch on the tip of the nipple, cheek dimpling, infrequent swallowing, lips puckered, a clicking sound when feeding, or lips curled in instead of flanged when latched.
Engorgement:
Engorgement is another common cause of breast pain. Engorgement typically occurs during the first few days after delivery when milk is coming in. It continues until milk supply is established or reoccurs if mothers go longer stretches between breastfeeding or expressing milk. Engorgement is not just from milk, it is inflammation from additional fluids. Engorgement can be relieved with ice, a warm compress during feeds or pumping sessions, hand expression, and more frequent nursing. While milk supply is being established, avoid pumping too frequently to relieve engorgement (only pump until comfortable) because it could cause an accidental oversupply leading to more frequent issues in the future.
Clogged ducts & Mastitis:
Clogged milk ducts are a painful issue that can present as a lump in the breast. Sometimes lead to a sudden decrease in supply from the affected breast. It is important to clear the clog as quickly as possible to reduce the risk of mastitis, a painful breast infection that causes flu like symptoms and may require antibiotics. Choline supplements, cold compress, and continuing nursing are a few of the things you can try to resolve clogs. Also double check that your bra is not too tight as this can also cause clogged ducts.
Nipple Trauma:
Incorrect positioning of the nipple during breastfeeding or pumping can cause cracks, blisters, and bleeding. Some healing tips include using a nipple cream, air drying nipples before putting your nursing bra back on, and adjusting and relatching while nursing if you notice an improper latch.
Thrush:
Thrush is a yeast infection that can cause burning pain and white or red fiery nipples. Baby’s mouth will also usually have white patches. To prevent thrush keep nipples from being in a dark, moist environment. Also, change nursing pads/ bra frequently, and ensure pump parts are clean.
WHEN TO SEEK HELP
If any of these symptoms persist and do not improve, or you just want more support, it is best to seek guidance from an Internationally Board Certified Lactation Consultant. These professionals can help to improve your baby’s latch and give individualized guidance to your unique breastfeeding journey.
Struggling with breastfeeding pain? You’re not alone! Whether you’re experiencing discomfort, latch issues, or just need reassurance, expert help is available.
💻 Virtual or 🤱 In-Person Lactation Support – Get personalized guidance to make breastfeeding more comfortable and successful.👉 Schedule your consultation today and take the first step toward pain-free, confident breastfeeding!
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