How to Use Nursing Pads

Are you a pregnant or nursing mom? If so, you’ve likely experienced milk leakage. Unexpected leakage or let-down is a common occurrence that can be embarrassing if you’re not prepared.

Breast pads, also known as “nursing pads,” are absorbent, removable liners worn between a woman’s nipples and her bra. They act as a shield to protect clothing from milk leakage, preventing wet spots, and potential stains.

We’ll help you sort through the differences between reusable pads and disposable options, and give you the low-down on how to use them correctly for optimal leakage protection.

Why Do I Need Breast Pads?

In the final weeks of pregnancy and the early days of nursing, your body is preparing and perfecting the process of making sufficient milk to feed your baby. Before your body (and baby) have settled into a solid feeding schedule, your breasts will often release milk without warning ⁽¹⁾.

Even after your body’s milk production has regulated and the sudden let-downs subside, leaks and surprises can still occur while you nurse. This is because let-downs are triggered by more than a physical need – emotional situations can trigger them as well. Simply hearing a baby cry or yearning for a snuggle can trigger a spray of milk.

Are They Safe?

It is natural to be concerned about hygiene and other risks when considering placing anything next to your nipple and feeding your baby afterward. The good news is that, used properly, breast pads are safe and hygienic.

However, there are some things to keep in mind.

Change them when damp to avoid constant moisture around the nipple which can foster the growth of bacteria. This is especially important when you have sore nipples with broken skin. Unresolved nipple pain may result in mastitis, a serious infection of the milk duct in the breast ⁽²⁾.

Warm, moist environments also encourage fungal growth. One particularly bothersome fungus to nursing mothers is candida, which causes thrush. Thrush can occur in both baby’s mouth and mother’s nipple, where it causes painful symptoms such as itching and a flaky rash ⁽³⁾.

If you use reusable breast pads and end up with thrush, be aware the yeast can live within the fabric of your breast pad despite regular washing. You will need to take some extra steps to kill the yeast to prevent a recurrence.

Finally, breast pads also have the potential to irritate the skin of the nipple for some women. This is uncomfortable, but not serious. Nipple creams may be used in conjunction with breast pads to prevent irritation.

Breast Pad Options

There are many different breast pad options, and you can choose the one that best fits your lifestyle.

Disposable breast pads are discreet, relatively thin, single-use absorbent pads. Some come individually wrapped in plastic to ensure they are sanitary.

Disposable Pads

Benefits:

• Convenient.
• Easy to use.
• Contain adhesive to stay in place.
• Many are plastic-lined to prevent leaks.
• Thin & discreet.

Drawbacks:

• Not eco-friendly
• Plastic backing may increase moisture retention
• Regular, recurring expense while nursing

Reusable Pads

Reusable breast pads are machine washable and can be used multiple times. They are made of various materials for improved comfort and absorbency.

Benefits:

• Eco-friendly.
• Cost-effective.
• Breathable.

Drawbacks:

• Thicker; more noticeable beneath clothing.
• Higher up-front cost.
• Regular cleaning required.
• Need 10-12 pairs to rotate between cleanings.
• No adhesive.

Using Disposable Breast Pads

1. Prepare Your Nipple

Keeping a bacteria-free environment is essential when using breast pads, so make sure your nipple is dry before applying a clean one. If your nipples are irritated, apply nipple cream before your breast pad.

2. Remove Adhesive Backing

Using clean hands, remove pads from their packaging, and carefully peel off the adhesive backing, if your brand includes adhesive.

3. Position Nipple Centrally

To maximize the absorbency of your breast pad and avoid leaks, center your nipple on the pad.

4. Press Adhesive Against Bra

Bring your bra up into place toward your breast and press the adhesive side of the pad into the cup of the bra. When you position your bra fully into place, re-adjust the pad if it is not in the proper position.

5. Replace When Wet

When your pad becomes moist from milk leakage, remove it promptly and discard to reduce your chance of infection or irritation. Replace your breast pad with a new, clean one.

6. Wet Nipple If Pad Gets Stuck

If your breast pad becomes stuck to your nipple, gently apply a little moisture and it should release. Avoid pulling it as this could be very uncomfortable, especially if your nipples are cracked or irritated.

Using Reusable Breast Pads

1. Use Clean, Dry Pads

Because bacteria can grow in moist environments, make sure the breast pad you select is completely dry.

2. Prepare Your Nipple

Just as with disposable breast pads, make sure your nipple is also dry before applying a clean pad. If your nipples are irritated, apply nipple cream before your breast pad.

3. Secure Pad In Bra Cup

Position your breast pad in the cup of your bra; because it lacks adhesive, make sure it is securely wedged between your breast and your bra. Ideally, it will be centered on your nipple.

4. Adjust, If Necessary

Adjust your breast pad as much as you need. Reusable breast pads tend to be thicker than disposable, so use a padded or thicker bra to keep them hidden.

5. Replace When Wet

When your breast pad gets wet, remove it. If away from home, place it in a small wet bag or Ziploc bag. Remove them when you return home so they do not sit in the moist environment any longer than necessary.

6. Wash Your Breast Pad

Clean according to manufacturer guidelines. If you no longer have the packaging they came in, look up their website and instructions online. Washing methods vary because reusable breast pads are made from different materials – cotton, bamboo, wool, and other fabrics.

Some recommend hand-washing, others hot water, while others specify cold-water washing only. The same goes for machine drying or line-drying.

Regardless of your washing method, avoid all fabric softeners – whether the liquid or dryer sheets in the dryer – as fabric softeners can impact absorbency.

7. Disinfect Yeast (If Applicable)

If you or your baby have thrush, you’ll need some extra cleaning as yeast can live in the fabric of your breast pads and survive the washing process. You can do this by:

• Using disposable breast pads for 2-4 weeks while setting your washed, dried reusable breast pads aside to allow the yeast to die off without chemicals.
• Washing your breast pads in the washing machine with 1 cup of vinegar.
• Washing them in the washing machine along with a combination of ¼ cup bleach, 20 drops of tea tree oil, and 20 drops of grapefruit seed extract (NOT grapeseed extract).
• Setting your breast pads in the sunlight.

Stay Padded

While things are a bit different depending on whether you use disposable or reusable nursing pads, some of the basics are the same. In summary, do the following:

1. Make sure your nipple is dry and apply cream if necessary.
2. Position the center of the breast pad over the nipple.
3. Secure the breast pad in the bra cup.
4. Adjust the pad if necessary.
5. Replace immediately when damp, to avoid bacterial growth and infection.

Milk leakage is a reality for most moms at some point, and breast pads are a great way to prevent embarrassment, stains, and keep the milk spots at bay.

Whether reusable or disposable, the most important thing is to replace them regularly to avoid irritation and potential infection.