There is no need for creams on your nipples for routine care. After feeds, just express a little breastmilk onto them and let them air dry. Change breast pads frequently, do not let them stay wet.
Check your breasts and nipples daily for signs of any problems such as cracked nipples, lumps, tenderness or redness.
Sore nipples are usually due to the baby not being correctly positioned at the breast, or not sucking properly.
Breast lumps, redness or tenderness
This is usually due to blocked milk ducts, breasts not being emptied sufficiently or an infection entering from a badly cracked nipple. Blocked ducts feel like small hard tender lumps in your breast, and there may be a patch of redness on the skin over the lump.
To relieve a blocked duct:
Keep track of the last breast used by putting a paper clip or safety pin on your bra cup or keep a record on your phone. Feel how heavy and full your breasts are before a feed. If baby has had a good feed, your breasts should feel lighter and softer afterwards.
How many feeds?
Your baby may need to feed very frequently in the first weeks of life. While it is common for babies to breastfeed 8 to 12 times in a 24-hour period, some babies may need fewer feeds and some more.
As baby grows they will go for longer between feeds, although remember that feeding frequency will increase again during growth spurts. Some babies may continue to wake for night feeds for at least 6 months.
Chapter 1 Baby Basics