Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Effective strategies for managing nipple pain during breastfeeding include:
- Ensuring correct positioning and attachment of the baby to the breast to reduce trauma to the nipples.
- Providing face-to-face breastfeeding support to assess and address any concerns about feeding technique.
- Offering reassurance, encouragement, and tailored care to build confidence in breastfeeding.
- Using expressed breast milk on the nipples to aid healing and keeping nipples clean and dry.
- Seeking additional support such as lactation consultation or peer support if pain persists.
For breast engorgement, recommended management strategies include:
- Frequent and effective breastfeeding or expressing milk to relieve fullness and maintain milk flow.
- Applying cold packs or ice packs to reduce swelling and discomfort.
- Wearing a supportive bra to provide comfort and reduce breast tissue strain.
- Using over-the-counter pain relief as needed.
- Expressing milk sparingly to ease engorgement without stimulating excessive milk production.
- Seeking professional help if symptoms worsen or do not improve.
These strategies should be supported by healthcare professionals skilled in breastfeeding support, with face-to-face assessments and ongoing encouragement to address individual needs and concerns NICE NG194.