1. Nipple Soreness

a. Problem: Nipples may become red and cracked or bleeding. Nipples may be sore until they become accustomed to the baby's sucking. Soreness may also be due to poor positioning, removing baby from breast improperly, not allowing the nipples to dry, irritants such as soap, shampoo, rough clothing, plastic liners in bras, or harsh laundry detergents.

b. Solutions

1) Rotate position of baby when feeding

2) Short frequent feedings

3) Make sure baby has large portion of nipple in mouth, not just the tip

4) Make sure baby's mouth is close to the nipple to avoid pulling on the nipple

5) Air-dry nipples and use Eucerin cream as necessary

6) Nurse on least sore side first

7) Always break suction before removing baby

8) If nipples become cracked or bleeds, apply saline soaks, ice to nipples before feeding, nipple shields, or vitamin E oil.