The baby should not be put to the affected breast for about 24 hours and the expressed breast milk should be given from a bottle or spoon. If there is insufficient breast milk give a complementary feed of evaporated (103) or soya bean milk. Follow the above procedures for healing the nipple while it is being rested from feeding.
A flange or ribbed teat with a slit cut in the tip is useful when you have a grazed nipple, as the baby can continue feeding while the nipple heals. ^ -”vr.
Do not put the baby on a very full or engorged breast when you return the baby to the breast because it will damage the nipple further.
Starting with one or two feeds a day, gradually build up the feeds your baby has from the affected side. A thin layer of white petroleum jelly applied to the nipple before the baby sucks will prevent further damage.
A local anaesthetic jelly (one per cent lignocaine) applied 20 minutes before a feed and wiped off immediately before feeding, has an immediate soothing effect on sore nipples.