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Thread: Nipple sensitivity & pain after nursing?

  1. #1

    Default Nipple sensitivity & pain after nursing?

    My LO is 1 month old and EBF. We've gone through nipple trauma, mastitis, and thrush in the past few weeks, but I think we're done with those for now - thank goodness!
    Recently nursing has been pretty comfortable with a kneading feeling during BFing and only a little discomfort coming from initial latch and letdown, both of which seem pretty normal. My LOs mouth is pretty small but we can get a good latch with his lips looking like a fish. The only thing is that he doesn't look like he's got a whole lot of areola in there with the nipple. My LOL is also a pretty gassy little guy and is constantly grunting and squirming because of his discomfort, which makes him tug at my nipples during feeding. So when he let's go of the latch my nipples either has a little crease or looks a bit lipstick-shaped with some blanching. But my nipples don't hurt During feeding - Only After do they feel kind of sensitive and uncomfortable. I'm not sure if that means I have a bad latch or what. Maybe the thrush is coming back? Maybe it's because of my LO tugging at the breast? Maybe it's bad positioning? I don't know. Any ideas?

  2. #2
    Join Date
    Jun 2009
    Posts
    10,754

    Default Re: Nipple sensitivity & pain after nursing?

    This sounds like vasospasm. Getting a 'better' latch will help, and adjusting positioning is likely to help with latch, but with vasospasm what else might help is applying warmth to your nipples after nursing and trying to stay warmer overall. Also thrush and vasospasm may occur together.

    Gassy, squirmy, pulling etc in baby all normal. Assuming baby is gaining normally, you just need to keep working on fixing your own discomfort to be home free. Are you able to get in person assistance? I will attach a good article that runs through the various positioning and latch ideas that usually help to see if there is anything you missed or might want to try again. I do suggest, when looking for a comfortable latch, go by how you feel more so than how it looks.

    Latch and positioning: http://feedthebabyllc.com/latch-and-positioning/

    Vasospasm: http://www.breastfeedinginc.ca/conte...ename=doc-V-RP

    Thrush Protocol: http://www.breastfeedinginc.ca/conte...agename=doc-CP

    What to expect at consult with IBCLC: http://cwgenna.com/lconsult.html

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