Breastfeeding is a natural and rewarding experience, but discomfort is normal in the early stages. Ideally, it should be a pleasant bonding time for you and your baby. However, if pain persists beyond the first few days, it may indicate an issue with the latch, position, or suck. Proper breastfeeding techniques can significantly reduce discomfort, helping you and your baby enjoy this special time together.

Initial Discomfort: When Is It Normal?

During the first three to five days after birth, you may feel mild soreness or tenderness when your baby latches on. This discomfort should not last long. If the pain continues or worsens, it could signal a problem with the baby’s latch or positioning. Adjusting how the baby attaches to the breast can quickly relieve pain and prevent further issues, such as cracked nipples.

If pain persists beyond the early days, it might stem from other conditions such as thrush, bacterial infections, or a tongue-tie. Seeking advice from a lactation consultant can offer further support and comfort.

Positioning and Latch: Keys to Pain-Free Breastfeeding

Correct positioning and latch are crucial to avoid breastfeeding pain. Learning to recognize early feeding cues—such as your baby moving his head side-to-side or sucking on his hands—helps ensure you are ready before he becomes too hungry. Waiting for crying as a hunger cue is often too late, leading to rushed latching that may cause discomfort.

Laid-Back Position

Lie back comfortably in bed or a recliner, using pillows to support your body. Place your baby on your chest so his front rests against yours. Encourage a wide-open mouth by gently rubbing your nipple against his upper lip. His chin should touch your breast first, followed by his nose. Keep his body close to prevent dangling feet, and support your breast with your hand if needed. If you experience pain, use your finger to detach your baby by breaking the suction and attempt to latch again.

Football Hold

This position is excellent for mothers recovering from a Cesarean birth. Hold your baby beside you, under your arm, with his back along your forearm. Use pillows to bring him to nipple height. Support your breast in a “C” hold, ensuring his mouth is level with your nipple. With his legs tucked along your back, the soles of his feet should point upwards. This position keeps him from pushing against your chair, maintaining a secure latch.

Cradle Position

Ensure you are seated comfortably with back support. Rest your baby on his side, facing you with his chest pressed to your abdomen. His head should rest in the crook of your arm, and his nose should be aligned with your nipple. Use your free hand to support your breast, bringing your baby close for a deep latch. A well-latched baby will have his chin pressed into the breast, with his nose slightly away.

Cross-Cradle Hold

The cross-cradle hold offers additional support, especially for newborns. Place your baby on a pillow across your lap to raise him to nipple height. Support your breast with one hand in a “U” hold while using the other hand to guide your baby’s head. Ensure his head tilts slightly back as you bring him to the breast, covering more of your nipple with his lower jaw. If you experience pain, break the latch gently and try again.

Why Does Breastfeeding Hurt? Common Causes

Pain while breastfeeding often results from poor latch-on. If your baby grasps only the nipple instead of enough breast tissue, it can cause soreness. Look for signs such as a pinched or blanched nipple after feeding, indicating an incorrect latch. Adjusting your baby’s position or re-latching him can resolve these issues.

Tongue-tie is another common cause of breastfeeding pain. If your baby’s tongue cannot extend beyond his lower lip or appears heart-shaped when crying, this may suggest a restricted frenulum. Seek advice from a healthcare provider for evaluation and potential treatment.

Flat or inverted nipples can also make latching difficult, though your baby’s suckling may naturally draw them out over time. If breastfeeding remains painful, techniques like Reverse Pressure Softening can reduce swelling and improve the latch.

Preventing and Managing Sore Nipples

To prevent soreness, avoid pulling your baby off the breast without breaking the suction first. Instead, gently insert your finger into the corner of his mouth. Tight bras, detergent residues, or drying soaps can irritate your nipples, so be mindful of your clothing and personal care products. Rinsing your breasts with water alone is sufficient for hygiene.

Using Lanolin and Milk for Relief

Your breast milk has natural healing properties. After feeding:
Express a small amount of milk onto your nipples to soothe soreness.
If additional relief is needed, apply a small amount of HPA® Lanolin, which creates a moisture barrier to aid healing.
Exercise caution with lanolin if you think you have a yeast infection, since it might make the situation worse.

When to Seek Help

If soreness continues or worsens, it’s important to seek assistance. A lactation consultant or La Leche League Leader can help identify underlying causes and provide practical solutions. Don’t hesitate to ask for help—persistent pain is often solvable with small adjustments.

Should Breastfeeding Hurt Long-Term?

While mild soreness is common during the first few days, persistent pain is not typical and should not last throughout your breastfeeding journey. Adjusting your baby’s latch or position usually resolves discomfort quickly. If addressed early, you can avoid long-term issues and enjoy the many benefits of breastfeeding for both you and your baby.

Final Thoughts: Breastfeeding Shouldn’t Hurt Forever

How long should breastfeeding hurt for? Ideally, any discomfort should subside within the first week as you and your baby learn proper techniques. If pain continues, it’s a sign that further adjustments are needed. Remember, breastfeeding is a skill, and with the right support, it can become a joyful experience that nurtures the bond between you and your baby.