Breast and Nipple Care: Managing Engorgement, Cracked Nipples, and Breast Care for All Mums

Navigating the physical demands of early motherhood can be overwhelming, especially when it comes to breast and nipple care. Whether you’re breastfeeding, pumping, or choosing not to nurse, taking good care of your breasts is essential. In this guide, we’ll explore how to manage common challenges like engorgement, cracked nipples, and general breast care tips to help you feel more comfortable and supported.

Understanding Breast Engorgement

Engorgement is common in the early days of breastfeeding or pumping. It occurs when milk production increases rapidly, often resulting in swollen, hard, and tender breasts. Engorgement can be uncomfortable and, in some cases, lead to blocked ducts or mastitis if not managed.

Tips for Managing Engorgement

1. Frequent Feeding or Pumping: Regularly emptying the breasts is essential to prevent and relieve engorgement. Try breastfeeding on demand or pumping to release the milk and ease the pressure. Our Wearable Breast Pump is great for this as it gives you the freedom to do this where ever you need to from couch, car or work.

2. Warm Compresses Before Feeding or Pumping: A warm cloth or a warm shower can help soften the breasts, making it easier for milk to flow and for your baby to latch comfortably.

3. Cold Compresses After Feeding or Pumping: Applying a cold pack or chilled cloth for 10–15 minutes after a feed can reduce swelling and discomfort.

4. Breast Massage: Gently massaging the breasts during or after feeds can help reduce fullness and support milk flow. Focus on areas that feel particularly firm to prevent blocked ducts.

5. Expressing Just Enough: If you’re not breastfeeding or nursing infrequently, hand-express a small amount of milk just to relieve discomfort rather than fully emptying the breast, as this helps prevent further stimulation of milk production.

Managing Cracked or Sore Nipples

Cracked nipples are a common challenge that many new mums face, especially in the early weeks of breastfeeding. Sore nipples can occur due to improper latch, positioning, incorrect flange sizing or sensitive skin. Fortunately, there are steps you can take to manage this discomfort and support nipple healing.

Tips for Healing and Prevention

1. Focus on Positioning and Latch: Ensuring a deep and comfortable latch can help prevent damage. Your baby’s mouth should cover as much of the areola as possible, with their chin touching the breast. If you’re unsure, consult a lactation consultant for support and guidance.

2. Use Nipple Cream or Breast Milk: Applying a lanolin-based nipple cream or a few drops of breast milk after feeds can help keep the skin moist and promote healing. Breast milk has natural antibacterial properties and can soothe minor irritations.

3. Air Dry When Possible: Exposing nipples to air can aid healing. If practical, let your nipples air dry after feeding or pumping to avoid moisture build-up, which can worsen soreness.

4. Breast Shells or Nipple Shields: Some mums find relief using breast shells or nipple shields, which create a protective barrier between the nipples and clothing, preventing irritation from rubbing.

5. Consider Pumping Temporarily: If breastfeeding is too painful, using a breast pump temporarily can give your nipples time to heal while maintaining milk production.

6. If Using A Breast Pump: Ensure you have correctly measured your nipples to ensure you are using the correct flange size. Our fitting guide is a great resource to use

Breast Care for Mums Who Aren’t Breastfeeding

Even if you’re not breastfeeding, breast care is important during the postpartum period, as your body will still produce milk for a few weeks. Here are some tips to stay comfortable during this time:

1. Avoid Breast Stimulation: Limiting breast stimulation helps to reduce milk production. Wear a supportive bra that isn’t too tight, and avoid touching or massaging the breasts.

2. Use Cold Compresses: Cold packs or cabbage leaves can help relieve discomfort and reduce swelling as your milk supply begins to decrease.

3. Pain Relief: Over-the-counter pain relief, such as paracetamol or ibuprofen, may help ease discomfort. Always consult your healthcare provider before taking any medication.

4. Watch for Signs of Blocked Ducts: Even if you’re not breastfeeding, blocked ducts can still occur. Keep an eye out for any unusual tenderness, redness, or warmth, and consult your healthcare provider if you experience any of these signs.

General Breast Care Tips for All Mums

• Stay Hydrated: Good hydration supports milk production and overall health.
• Wear a Comfortable, Supportive Bra: Whether or not you’re breastfeeding, a comfortable bra can provide the support you need without compressing your breasts.
• Self-Check for Breast Health: Becoming familiar with your breasts’ normal texture and appearance can help you notice any changes early on. It’s a good habit to perform self-checks regularly, particularly in the months following childbirth when hormones are adjusting.

When to Seek Help

If you experience ongoing pain, a lump that doesn’t improve, redness, or fever, it’s important to reach out to a healthcare provider. Issues like mastitis, a blocked duct, or severe nipple damage often require professional guidance, and early intervention can prevent complications.

Support and Community

At The Night Owl, we understand that the early weeks and months of motherhood bring unique challenges. You’re not alone on this journey; reach out for support when you need it. Whether it’s breastfeeding, pumping, or simply looking after your health and wellbeing, our community is here to help you every step of the way.

Taking care of your breasts, whatever your feeding journey looks like, can make a huge difference in your comfort and confidence as a new mum. Remember, nurturing yourself is just as important as nurturing your baby.