Before Your Baby Arrives

Take some time to get to know your breasts! What are your nipples like? Some women have larger nipples that protrude, while others have smaller, flatter nipples—or even inverted ones (that turn inward instead of outward). Inverted nipples can sometimes make breastfeeding a bit trickier. If you’re unsure or concerned, talk with your midwife to learn how to best prepare for breastfeeding.

Good news—research shows there’s no need to "toughen up" your nipples during pregnancy (phew!). No rough towel rubbing needed—they’ll naturally adjust once your baby is feeding often after birth.

Once Your Baby Arrives

It’s completely normal for most women to experience some tenderness or discomfort when beginning their breastfeeding journey.

Nipples are among the most sensitive areas of the body. Combine that with a baby feeding around the clock every few hours, and of course there will be an adjustment period!

Sometimes challenges like poor latch, tongue-tie, or prematurity can make things more painful—leading to cracks, blisters, or grazes. The key to healing is to address the root cause (latch, positioning, tongue-tie, thrush, etc.). Always reach out to your healthcare provider for support.

Here are some tips:

• Start feeding from the less injured breast first. Babies often feed more gently on the second side.

• Expect the initial latch or first few minutes to be the most uncomfortable—it should ease as the feed continues.

• Try different feeding positions to find the one that causes the least pain.

Ways to Soothe or Heal Sore Nipples

Natural Nipple Creams
Use after feeding (no need to wash off before the next feed):
Purelan, Lansinoh, kawakawa balm, coconut oil

Expose Nipples to Air & Light
Letting your nipples get some fresh air and natural light after feeds helps healing.

Hydrogel Breast Discs
Store them in the fridge or freezer for soothing relief. These help heal cracks faster. Wipe nipples before feeding if you've been using them.
(Manuka honey gel pads are a great alternative.)

Silverette Cups
Mini silver cups worn over nipples to soothe and protect. Silver is naturally antimicrobial and anti-inflammatory.

Hypercal Cream
Made with St. John’s Wort and Calendula, this natural cream offers pain relief and supports skin healing. Use after each feed.

Breast Milk
Express a few drops onto sore nipples and let them air-dry. (Avoid this method if you suspect thrush.)

Warm Compress
A warm, damp cloth applied after feeding can offer relief. Pat nipples dry afterward.

Nipple Shields
If pain is severe, shields can give your nipples a break. Use short-term, and consult a professional about proper use—overuse can lead to nipple confusion or lower milk supply.

Fresh Breast Pads
Change them when damp. Some women prefer breast shells to protect against friction from bras or pads.

When to Get Help

If nipple pain continues, don’t hesitate to get help from a midwife or lactation consultant (LC). Many hospitals and birth centers offer free LC services, and there are private consultants available for in-home visits too.