One of the blockers to breastfeeding is getting cracked nipples, sometimes called nipple fissures. It can be painful and will appear red, dry, and chafed. You can get it on one or both sides. Topical nipple cream may not be resolving it. So, what do you do?
First, get to the root cause
Here's a checklist of common root causes:
Shallow latch.Your baby should have the whole nipple and part of the areola in their mouth. A shallow latch can irritate your nipples.
Tongue ties or inverted nipples.Anatomical differences such as tongue ties or inverted nipples can make it challenging to get a proper latch. If you suspect this, it's time to consult with a lactation consultant.
Thrush, a fungal infection,can also contribute to nipple discomfort. If your baby has a solid latch, you may want to get evaluated for thrush.
Incorrect use of the pump.Using high suction settings can damage your nipples, as well as using the wrong flange sizes.
To promote healing, try these tips:
Before feeding: Apply a warm compress to your nipples to increase blood circulation, which is particularly helpful for engorgement or blocked ducts.
After feeding: Try a salt water rinse by mixing ½ teaspoon of salt in 8oz of warm water, and soak the affected nipple for a minute or two – but no more than 5 minutes. Pat dry.
Follow with a lanolin-based nipple cream to soothe and protect your nipples. If you're dealing with thrush, you'd apply an antifungal ointment.
Between feedings:
Give as much air time as possible to your nipples.
Layer in cold compresses.
Consider pain medications to provide further relief, such as Advil, Tylenol, or Motrin, all breastfeeding-compatible.
If your cracked nipples are accompanied by severe pain, signs of infection, or persistent issues, it's essential to consult a healthcare professional. They can provide additional guidance and recommend appropriate treatment.