Nipple Problems While Nursing

Breastfeeding can be a beautiful way to bond with your baby, but that doesn’t mean it always feels easy in the beginning. Sore nipples or worries about nipple shape are some of the most common hurdles new parents face. The good news? With time, small adjustments and a little support, most women go on to nurse successfully.

Think of these early days as a learning curve — for both you and your baby. A few practical steps can make feeding more comfortable, and if you need extra guidance, lactation consultants and your care team are ready to help.

Inverted or Flat Nipples

Babies latch onto the areola, not just the nipple — so flat or inverted nipples don’t have to stand in the way of breastfeeding. Early feedings may take more patience, but with a little help, things usually improve.

What helps:

• Hand express or pump right after delivery to draw out the nipple
• Avoid rolling, twisting or pulling at the nipple — it can cause soreness
• Use nipple shields if recommended by your provider or lactation consultant, especially if your baby is premature
• Work with a lactation consultant if latching continues to be difficult

Most women find that as their baby grows stronger, nipple shields aren’t needed anymore.

Sore Nipples

Some tenderness is common in the first days, but pain that lasts through a feeding usually means your baby’s latch needs adjusting.

What helps:

• Aim your nipple at your baby’s nose so their mouth opens wide, like a yawn
• If it hurts throughout the feeding, gently break the suction with your finger, reposition and try again
• Check that your baby’s lips are flanged outward, not tucked under, and that they aren’t sucking their tongue (you may hear smacking or see cheeks cave in)
• Try different nursing positions until you find one that works best
• Express a few drops of breast milk onto your nipples and let them air dry after feeding
• Use warm compresses or a thin layer of pure lanolin to ease irritation

Preventing Ongoing Irritation

To protect sore nipples and help them heal:

• Avoid creams with alcohol — your body makes natural oils that protect the skin
• Nurse more often for shorter periods, instead of stretching out feedings
• Change nursing pads frequently; choose 100% cotton pads instead of plastic-lined ones
• Wear a clean, supportive nursing bra that fits well
• Stop using any pump that causes pain and reach out to a lactation consultant

The Bottom Line

Flat nipples, inverted nipples and soreness are common roadblocks, but they don’t mean you can’t breastfeed. With small adjustments — and support from your provider or a lactation consultant — most parents find relief and go on to nurse comfortably. Remember, you’re learning alongside your baby, and it gets easier with time.