Nipple First Aid

Nipple tenderness is common in the first few weeks of breastfeeding, nipple pain and damage however is not normal and is often a sign that an adjustment to your positioning or latch needs to be made! So what do you do if you’ve got some nipple damage and it’s painful to nurse?

My go to nipple first aid as a lactation consultant

  1. Get a good quality nipple cream- motherlove is my favorite

  2. Allow the nipples to air out after each feeding and then apply a liberal amount of nipple cream. We want nipples to heal wet, don’t allow them to dry out and create hard scabs. 

  3. Use silverettes to protect the nipples, help them heal, and keep your nipple cream sealed in.

  4. Lansinoh soothie pads are hydrogel and can be stored in the freezer between uses and feel amazing on ouchie nipples.

  5. Coat your breastpads with a layer of nipple cream so they aren’t wicking moisture from them. 

  6. Alternate sides at each feeding so nipples get a longer break

  7. Consider pumping or using a haaka if it’s too painful to latch

  8. Consider a nipple shield while your healing

  9. Have your latch assessed by an IBCLC

  10. If pain and damage continues after adjusting the latch ask your lactation consultant to assess for oral ties.

  11. If you have open sores and bleeding ask your primary care doctor for an all purpose nipple ointment prescription, it has antibacterial anti inflammatory and antifungal ingredients  and is super helpful if you have a lot of damage! Just remember to wash your nipples off before feeding baby!


Breastfeeding shouldn’t be painful! If it is there’s something wrong!


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