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Breastfeeding, Nipple Pain, Nipple Vasospasm, Raynaud's Phenomenon



  1. Jones, Stacey J.
  2. Johnson, Kelly S.
  3. Cleveland, Kelli K.
  4. Mason, Shawna M.


Background and Purpose: The aim of this study was to increase awareness among healthcare providers of the potential for diagnosis of Raynaud's phenomenon of the nipple among breastfeeding mothers with nipple pain and provide treatment options for Raynaud's phenomenon of the nipple.


Methods: This study used a literature review of evidence-based research journal articles related to Raynaud's phenomenon of the nipple in addition to direct patient care.


Conclusions: The American Academy of Pediatrics recommends mothers breastfeed for the first 6 months after delivery and continue up to 12 months or longer with addition of foods. Raynaud's phenomenon of the nipple has been more prevalent in women of childbearing age and, without proper treatment, can discourage breastfeeding among mothers. With accurate diagnosis, a breastfeeding mother can attempt to lessen the symptoms of Raynaud's phenomenon through treatment options that range from simply covering during breastfeeding to use of prescription medications.


Implications for Practice: Healthcare providers should be aware of diagnoses that can discourage a mother from breastfeeding. Misdiagnosing nipple pain during breastfeeding can cause the patient undue stress that may lead to the cessation of breastfeeding. Accurate diagnosis and effective treatment can improve outcomes in the mother and infant.