International Board of Certified Lactation Consultant (IBCLC) Practice Exam

What should be done if a mother has cracked or bleeding nipples?

1. Continue breastfeeding from that side

2. Stop breastfeeding completely

3. Refrain from breastfeeding or pumping from the affected side until healed

4. Use a nipple shield

The correct answer is: Refrain from breastfeeding or pumping from the affected side until healed

When a mother experiences cracked or bleeding nipples, it is crucial to prioritize healing while ensuring that breastfeeding can continue effectively. Refraining from breastfeeding or pumping from the affected side until healing occurs allows the damaged tissue to recuperate without exacerbating the injury. Continuing to feed from the affected side may further irritate the cracks or deepen the injury, leading to increased pain and potentially more serious complications. In the interim, it is often recommended to continue breastfeeding from the unaffected side, ensuring the mother maintains milk supply. Other supportive measures can include using creams or ointments recommended for nipple care, practicing good latch techniques, and utilizing breast pads to reduce friction against clothing. While using a nipple shield may offer temporary relief by creating a barrier over the painful area, it doesn’t address the root cause of the issue, which is usually related to improper latch or positioning during breastfeeding. Therefore, the most effective approach is to allow the affected side to heal while ensuring that breastfeeding can be maintained on the other side, hence focusing on the mother's comfort and the baby’s nutrition.