NIPPLE CARE 101

Let’s normalize this right away:

A little tenderness in the early days? Common.Toe-curling, eye-watering pain? Not normal.

Whether you’re nursing, pumping, or doing a combination of both, your nipples are doing a lot of work. And just like any hardworking body part — they deserve care, attention, and support. This guide will walk you through what’s normal, what’s not, how to prevent soreness, and how to heal if things are feeling… less than comfortable. We want healthy, comfortable nipples — because feeding should feel sustainable, not something you have to survive.

First Things First: What’s “Normal”?

Here’s the thing: nipple damage is usually a symptom, not the root problem. Creams, balms, silver cups — they can absolutely soothe and protect. But they’re supportive tools, not permanent fixes. If we don’t address latch, positioning, pump fit, or underlying causes, the cycle continues. And what works for one parent may not work for you. Some trial and adjustment is normal — your body gets a say here.

In the first week or so, you might notice:

• Mild tenderness when baby first latches

• Sensitivity as milk comes in

• Nipples that look slightly elongated after feeds

What you shouldn’t see:

• Cracks or open wounds • Blistering • Bleeding • Lipstick-shaped nipples after feeding • Pain that makes you dread the next session

Nipple Care Options:

Lanolin

A thick, protective ointment that many find soothing for cracked or dry skin. Avoid if you have a wool sensitivity.

Plant-Based Nipple Butters

Often lighter than lanolin and made with ingredients like shea butter or calendula. Great for moisturizing and protecting irritated skin.

(You can browse some of our favourites here:👉 https://www.amazon.ca/shop/next_trimester)

Hydrogel Pads

Cooling, soothing pads that support moist wound healing and reduce friction.

Helpful tips: • Store in the fridge for extra relief • Don’t layer with creams • Allow some air exposure between uses

Best for short-term relief when nipples feel raw or inflamed.

All-Purpose Nipple Ointment (APNO)

A prescription compounded ointment that may be helpful for significant cracks or suspected infection. If natural options aren’t working, this may be worth discussing with your provider.

Barrier Options:

Breast Shells

Worn inside the bra to prevent clothing from rubbing against sensitive nipples. Allow airflow and can catch leaking milk.

Silver Nursing Cups

Worn between feeds to create a protective barrier. Silver has natural antimicrobial properties and may support healing.

Nipple Shields

A thin silicone barrier worn during feeds. Can be helpful temporarily when nipples are damaged — ideally used with guidance to ensure effective milk transfer.

Pumping (Short-Term Option)

For some, pumping with a properly fitted flange can allow tissue to heal while addressing latch issues. Suction should be comfortable — stronger does not mean better.

LATCH CHECK:

Before adding another cream or trying another tool, it’s always worth going back to the foundation: latch and positioning.

During and after a feed, ask yourself:

• Does baby have a wide mouth with lips flanged outward?

• Is baby’s chin touching the breast and nose free?

• Is baby’s body fully turned toward you (not twisting the neck)?

• Do you hear swallowing without persistent clicking?

• Does the nipple come out round — not flattened or “lipstick-shaped”?

• Is the pain improving as the feed continues (not worsening)?

Pumping? Let’s Talk About Flange Size.

One of the most common causes of nipple damage we see in pumping parents is incorrect flange sizing.

Signs your flange may not fit properly: • Nipple rubbing against tunnel sides • Areola being pulled excessively into the flange • Persistent soreness • Blanching (turning white) after pumping

A properly fitted flange allows the nipple to move freely without excessive friction. Sometimes just resizing makes all the difference. If pumping hurts, it’s not something you just “power through.” Let’s adjust it.

A Gentle Reminder

Feeding your baby should feel sustainable.

A little learning curve? Absolutely. White-knuckling through every feed? No.

If your nipples are sore, damaged, or you just feel unsure — that’s exactly what we’re here for.

Support makes all the difference. If you’d like personalized guidance, you can explore our feeding support options here:👉 https://www.nexttrimester.com/feedingstudio-services

And if you’re building your feeding toolkit, you can browse our recommended products here:👉 https://www.amazon.ca/shop/next_trimester?ref_=cm_sw_r_cp_ud_aipsfshop_HH6XG1TXKJCAVE8FFY29&ccs_id=3b4b34f7-4ac6-40ba-b979-acd0536a2c30

You deserve comfort. You deserve confidence. And your body deserves care, too.

— The Next Trimester Team 🤍