Women's Health What New Moms Need to Know About Breastfeeding By UPMC Magee-Womens Hospital, April 28, 2016 Sore Nipples Breastfeeding should be comfortable once a good latch and positioning are established. Helpful Tips for Sore Nipples Check for a proper latch (Head slightly tilted back, line infant’s nose across from nipple, wait for open mouth, and latch quickly and deeply) Try different positions. (Football and cross-cradle are preferred when learning) After breastfeeding, apply a few drops of expressed milk (or lanolin) onto your nipples Change nursing pads frequently and allow nipples to air-dry If soreness persists, contact a lactation consultant or your health care provider Plugged Breast Ducts A plugged duct is usually caused by an obstructed milk flow and/or poor milk removal from the breast. It can feel like a small, tender, firm area and is not accompanied by fever or other symptoms. Helpful Tips for Plugged Breast Ducts Nurse frequently, especially on the affected side Apply a warm compress to the sore area Massage area prior to and during feedings Pump or hand express milk after feedings if soreness/firmness persists Take an anti-inflammatory if needed Wear a bra that is supportive but not tight Rest often Call your physician if you develop a fever of higher than 101 degrees, chills, or flu-like symptoms Tips for Getting a Good, Deep Latch Hold your baby close, tummy to tummy Tilt your infant’s head back slightly Align your baby’s nose across from the nipple Tickle the upper lip (lips should flare outward) Wait for a wide, open mouth Bring infant onto breast quickly and deeply Place a large amount of breast into the mouth You should feel a strong tug or pulling that is not painful (During the early days of breastfeeding, it can take time, patience and practice for your baby to latch on well) Keep trying and ask for help if needed! Learn more about breastfeeding by visiting the Lactation Center at UPMC Magee-Womens Hospital.