Vasospasm is a sudden constriction (cramping) of blood vessels in the nipple. It can be very painful and may feel like a burning, shooting or throbbing pain. The nipple may change colour - turning white, blue, and red before resuming its normal colour. The pain may be felt before, during and or after a feed. Symptoms may last for a few seconds, minutes or longer.

You are more likely to suffer nipple vasospasm if you:

• have a family history of Raynaud’s phenomenon
• tend to have ’poor circulation’ (for example, cold hands or feet)
• have a low body mass index (you are thin)

Possible triggers of vasospasm include:

• nipple reaction to cold air
• poor attachment of the baby to the breast
• nipple damage, nipple thrush, dermatitis, or infection
• improper use of breast pumps and nipple shields
• some medications and chemicals may worsen vasospasm, for example smoking

How can I manage vasospasm:

Avoiding the triggers will help. You can manage it by:

• making sure your baby has the correct latch to your breast
• avoiding caffeine and nicotine
• keeping nipples warm (e.g. a heat pack or warmed soft cloth)
• wearing an extra layer of clothing
• using breast warmers, which are available to buy from local pharmacies
• trying nipple massage with warm olive oil

If pain continues you may consider:

• take Ibuprofen and Paracetamol following the instructions on the packaging. These are safe while breastfeeding.
• fish oil, evening primrose oil or magnesium supplements may improve blood vessel relaxation and reduce spasm
• prescription medication from your GP or other health professional.

How can I find more information?

Phone

• Maternal Child and Family Health - Early Parenting Support Line (02) 5124 1775
• Central Health Intake (CHI) on (02) 5124 9977

Websites

• Australian Breastfeeding Association - 1800 686 268 www.breastfeeding.asn.au
• Pregnancy Birth and Baby - 1800 882 436 www.pregnancybirthbaby.org.au
• Breastfeeding Support (MACH)

Visit

• Your GP