Nipple Care During Breastfeeding: What Works

Do nipples really need special preparation during pregnancy?

Many expectant mothers are surprised to learn that no special nipple preparation is needed during pregnancy. Obstetrician Gustavo Dias Eccard from Hospital Brasília Águas Claras explains that most traditional preparation practices lack solid scientific backing and some can actually be harmful. The only care recommended is simple hygiene with water during bathing.

Soaps, creams, oils and moisturisers are not advised — they can remove the natural lubrication produced by the Montgomery glands, which exist specifically to protect and prepare the nipples. Removing that protection increases the risk of cracks and infections.

Can women with flat or inverted nipples breastfeed successfully?

Yes, in most cases. This is one of the most anxiety-inducing topics for pregnant women. According to Dr Eccard, studies show that 13% of women who were told they might have a nipple problem gave up on their intention to breastfeed entirely — so discouraging language should be avoided. Interventions such as Hoffman exercises or the inverted syringe technique show evidence mainly in the immediate postpartum period. The most important step is to seek support from a lactation consultant right after birth.

Is colostrum leaking during pregnancy normal?

Yes, and it is a positive sign. In the third trimester, a well-fitting supportive bra is the main recommendation. No manipulation or additional products on the nipples are necessary. Pediatrician Juliana Sobral, coordinator of the milk bank at Maternidade Brasília, reassures that leaking colostrum means the breasts are preparing adequately for breastfeeding.

One important warning for the third trimester

Pregnant women at risk of preterm labour should avoid any excessive nipple manipulation, as it can stimulate contractions through oxytocin release.

What really reduces nipple injury during breastfeeding?

Recent studies cited by the specialists show that education focused on proper latch technique and positioning, combined with lactation consulting support, achieved a significant reduction in nipple injury rates — far more effective than any topical product.