Nipple care during pregnancy
Hormonal fluctuations will cause changes to the colour and size of the nipples and areola during pregnancy. Most get considerably darker and larger and some may stay like this for as long as a year after pregnancy. You will notice pimple-like protrusions around the areola called Montgomery's glands. They secrete oil that naturally lubricates the skin and fights bacteria. Keep your breasts clean by washing only with warm water.
Nipple care while during pregnancy
Keeping breasts and nipples clean and healthy is simple, but nipples that become dry and cracked can be very painful and may lead to you wanting to abandon breastfeeding altogether. The following tips will prevent that from happening:
- Take a daily shower and simply wash you breasts well with clean, warm water.
- Soaps are best avoided - they can be very drying and dry nipples soon lead to cracked, painful nipples.
- Keep your nipples dry and clean at all times.
- Avoid using hand and body creams and ointments, petroleum jelly, baby oil etc as these can clog the nipples and the taste and smell may dissuade your baby from feeding.
- If your nipples do become cracked and sore, express a small amount of colostrum or milk and massage gently into the nipple as these have naturally anti-bacterial properties.
- Montgomery glands on the areola naturally secrete a lubricant to protect the nipples from drying out.
- If you do decide to use a nipple cream, make sure it is specifically for breastfeeding moms and use one that you do not have to wipe off before feeds.
- Don’t pull or irritate the nipples as this may cause a breakdown of the layer of skin called keratin which helps to protect the nipples.
- Ensure that your bra and clothing are not too tight as this pressure on the delicate breast tissue can cause blocked ducts and painful breasts.
- To further prevent clogged milk ducts, it is helpful to gently massage your breasts in the shower. Start near the armpit and move toward the areola and nipple.
- Always try to let your nipples air dry after showing and feeding.
Positioning of baby
Incorrect positioning and latching of the baby while feeding often causes painful nipples. Ensure that the baby has your entire areola in his mouth, with his tongue always under your nipple.
