Comfort begins with understanding the cause
Breast care during breastfeeding begins with understanding what is causing the pain or injury. The baby’s position and attachment play an important role, but other factors should also be considered, including oral anatomy, skin condition, feeding frequency and how milk is removed.
An individual assessment can help identify possible causes of discomfort and find solutions suited to both mother and baby. At MaterClinic, this assessment is available through our Antenatal Breastfeeding Consultation or Postpartum Breastfeeding Consultation, supporting a more comfortable and confident breastfeeding experience.
Nipple fissures: assess the cause before applying products
When nipple fissures, persistent pain or skin changes develop, it is important to understand their underlying cause. Adjusting the baby’s attachment may be necessary, although pain and skin damage are not always caused exclusively by the way the baby feeds.
Silver nursing cups are used by some women to provide comfort and protect the nipple between feeds. However, the available research remains limited and does not establish that they are superior to other approaches or suitable for every situation.
Any product should be used while monitoring the condition of the skin and addressing the underlying cause of the injury. You can also read our article “Silver nursing cups: what the available evidence says”.
Breast engorgement
Breast engorgement may occur during the first days after birth due to increasing milk production, oedema and the normal changes of this stage. The breast may become fuller, firm, warm and painful, temporarily making attachment more difficult.
Breastfeeding in response to the baby’s cues, finding a comfortable position and removing only enough milk to relieve discomfort may help. Excessive milk expression can stimulate additional production and prolong the feeling of fullness.
Mastitis: recognising the signs and seeking support
Mastitis is part of an inflammatory spectrum that may cause localised pain, redness, increased breast temperature, swelling and general symptoms such as fever, chills or feeling unwell.
Breastfeeding can usually continue according to the baby’s needs and the mother’s comfort. Deep massage, intense pressure on the breast and attempts to empty it completely should be avoided.
The appropriate approach depends on the symptoms, their duration and a clinical assessment. Some situations improve with supportive care, while others may require medical treatment, including antibiotics. Timely assessment helps distinguish between these situations and reduces the risk of complications.
When to seek professional support
Seek clinical assessment if fever persists, pain or redness worsens, general symptoms become severe, the condition does not improve or you notice any change that concerns you.
In Charneca de Caparica, MaterClinic provides Breastfeeding Consultations and Postpartum Home Support. Our support focuses on understanding each situation and providing clear information, reassurance and guidance suited to each family.
Frequently asked questions
Should I wash my breasts before breastfeeding?
Normal daily hygiene is sufficient. Repeated nipple washing or the use of harsh products may irritate the skin and remove its natural protection.
What should I do if I suspect mastitis?
Seek advice from a healthcare professional, particularly if you have a fever, feel unwell or notice worsening symptoms. You can usually continue breastfeeding according to your baby’s needs and your comfort, while avoiding deep massage and excessive milk expression.
Do silver nursing cups prevent mastitis?
The available evidence does not establish that silver nursing cups prevent mastitis. Some women use them for nipple comfort, but they do not replace an assessment of the cause of pain, fissures or inflammation.
Scientific reference
Mitchell KB, Johnson HM, Rodríguez JM, et al. Academy of Breastfeeding Medicine Clinical Protocol #36: The Mastitis Spectrum, Revised 2022. Breastfeeding Medicine. 2022;17(5):360–376.
https://doi.org/10.1089/bfm.2022.29207.kbm
