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Most women's breasts have nipples that protrude slightly at rest and become erect when stimulated, as with cold. During pregnancy, the nipple and the pigmented area around it (areola) thicken in preparation for breastfeeding. Little glands (Montgomery glands) on the areola become more noticeable. They contain a lubricant to keep the nipple and areola from drying, cracking, or becoming infected.
Soaps and harsh washing or drying of the breasts and nipples can cause extreme dryness and cracking and should be avoided. Some experts recommend leaving milk on the nipple after feeding and allowing it to dry and protect the nipple. Keeping the nipples dry is important to prevent cracking and infection. For cracked nipples, apply 100% lanolin after feedings.
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ENGORGEMENT
Many times the breasts will become swollen and painful 2-3 days after birth. The best treatment for this is to nurse the baby more frequently. Also, it may be helpful to pump your breasts should you have to miss a feeding, or if a feeding does not relieve the pain. See your health care provider if there is no improvement after 1 day.
BABY'S POSITION
Comfortable nursing requires correct positioning of the baby at the breast. Some guidelines are given to help you develop your own technique. Observing someone else breastfeed or practicing with an experienced nursing mother or a lactation consultant may also help.
Cradle Hold:
Sit in a comfortable chair, with arm rests if possible. Place your baby on your abdomen, tummy-to-tummy. The baby's head is cradled in the crook of your arm and the face to your breast. The baby's knees are underneath your other breast. The infant's head, back, and legs should all be in a straight line. This position can be held for the entire duration of the feeding. If you feel your nipple starting to hurt half-way into the feeding, check to see if your baby has slipped down and if the knees are starting to face the ceiling instead of being tucked in next to your side.
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