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Nipple Fissures: A Common Breastfeeding Challenge



乳头皲裂:母乳喂养的常见挑战

What are Nipple Fissures?

Nipple fissures refer to cracks or breaks in the skin of the nipple, often accompanied by pain, bleeding, and even infection. For breastfeeding mothers, this condition is both painful and frustrating, especially in the early stages of nursing. When a baby sucks, if the nipple isn't properly latched or the breastfeeding position is incorrect, the nipple's surface can easily be damaged, leading to nipple fissures.



Causes of Nipple Fissures

  • Improper Latch/Breastfeeding Position: 

    • A shallow latch or incorrect breastfeeding position can cause excessive pressure, friction, and pulling on the nipple skin, leading to nipple fissures.


  • Frequent Feeding: 

    • In the early stages of breastfeeding, very frequent feedings might not allow the nipples enough rest time, resulting in skin damage.


  • Improper Dryness or Wetness: 

    • Nipple skin that is too dry or constantly in a moist environment can also easily trigger nipple fissures.




How to Prevent and Manage Nipple Fissures?

  • Adjust Breastfeeding Position: 

    • Ensure your baby takes a deep latch. A correct breastfeeding position can reduce friction and pressure on the nipple, preventing nipple fissures.


  • Keep Nipples Moist: 

    • Apply medical-grade nipple cream or a small amount of breast milk to the nipples to help keep the skin soft and promote healing.


  • Air Dry Nipples: 

    • After each feeding, try to expose your nipples to the air to dry, avoiding prolonged moisture on the nipples.


  • Reduce Feeding Frequency: 

    • If nipple fissures are severe, you can temporarily reduce feeding frequency, using a breast pump or other methods as a temporary substitute to give the nipples some recovery time.


  • Seek Professional Help: 

    • If nipple fissures persist or show signs of infection, it's advisable to consult a doctor or lactation consultant promptly for professional care advice.



Nipple fissures are not to be feared. Understanding their causes and taking appropriate measures can effectively prevent and alleviate them. Mothers should pay attention to self-care, maintain confidence, and enjoy the breastfeeding journey.




Written by: Jesiie, TCM Practitioner

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