Troubleshooting Breastfeeding: Pain, Latch Issues, and Supply Tips

Because breastfeeding shouldn't hurt—and you're not alone in figuring it out.

The first week of breastfeeding comes with a lot of learning. And while discomfort can be part of the process, pain is a red flag. If you’re experiencing sore nipples, latch struggles, or supply worries, this guide is for you.

😣 Painful Latch? Let’s Fix It.

It’s common to feel some sensitivity in the early days, but sharp pain, pinching, or cracked nipples mean something isn’t right.

Signs of a Poor Latch:

Clicking or smacking sounds

  1. Dimpling in baby’s cheeks

  2. Shallow latch (only the nipple is in the mouth)

  3. Nipple looks creased or pinched after feeding

  4. Ongoing pain beyond the initial latch

How to Fix It:

Aim baby’s nose toward your nipple—this helps them latch deeply.

  • Wait for a wide, yawning mouth before guiding them on.

  • If it hurts, break the seal by gently inserting your finger into the corner of their mouth and try again.

  • Try feeding when baby is calm or sleepy—less frustration for both of you.

  • Use skin-to-skin contact to reset and encourage natural rooting and latching behaviours.

If the pain continues, reach out to a trusted provider. You don’t need to power through painful feeds.

👃 Inverted or Flat Nipples

Breastfeeding is still possible with inverted or flat nipples—it may just take a little extra support.

How to Help Baby Latch:

  • Stimulate the nipple before feeding by:

    • Rolling it between your fingers

    • Using a warm compress

    • Pumping for a few minutes

    • Gently pulling it out with a modified syringe (ask your provider or LC to show you how)

  • Nipple shields can help draw the nipple out and give baby something firmer to latch onto.

  • Hand express a few drops before offering the breast—this encourages baby to smell and seek the nipple.

💡 With time, frequent feeding and stimulation can help draw out flat or inverted nipples naturally.

🛠️ Nipple Shields: Tool or Crutch?

Nipple shields can be helpful when used appropriately—but they should be a short-term solution.

When They Help:

  • For inverted or short nipples

  • To protect sore, cracked nipples while they heal

  • When baby is struggling to latch

Tips for Using a Shield:

  • Use the correct size (too tight = less milk transfer).

  • Place a few drops of milk inside to encourage baby to latch.

  • Monitor baby’s weight and diaper output to make sure they’re transferring milk well.

  • Work with a lactation consultant to wean off the shield once baby is latching better.

💆 Don’t Forget to Massage!

Breast massage is your best friend—for comfort, milk flow, and preventing blocked ducts.

When to Use It:

  • Before a feed: gently massage all around the breast to encourage letdown

  • During a feed or pumping session: compress areas that feel full

  • After a feed: help fully empty the breast if it still feels tight

💡 Massage boosts circulation, helps with clogged ducts, and can even improve supply.

🍼 Pumping Tips for Comfort and Supply

Whether you're pumping occasionally or regularly, a few key tricks make a big difference:

✅ Get the Right Flange Size:

  • Too small = pain and nipple trauma

  • Too large = poor suction and reduced milk removal

  • Your nipple should move freely within the tunnel without rubbing

✅ Create a Routine:

  • Mimic your baby’s feeding schedule: pump every 2–3 hours early on

  • Start with stimulation mode for 2 minutes, then switch to expression

  • Use breast compressions while pumping to boost output

✅ Combine with Hand Expression:

  • Pumping doesn’t always empty the breast fully

  • Hand expression after pumping can yield extra milk and stimulate more production

💬 Final Reminder

If you're experiencing pain, low supply, or latch struggles—you are not failing. These are common challenges that have solutions.

Don’t hesitate to reach out for help. Early support can make all the difference in your breastfeeding journey.

Contact Bong & Bloom for support by emailing: info@bondandbloom.org

Next in the Series:
👉 Jaundice in Newborns: What It Is and When to Worry (Coming soon!)

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Breastfeeding in the First Week: What to expect and How to Succeed