Poor positioning and latch-on of the baby at the breast are the primary causes of sore nipples. Starting the feeding in a correct position can help prevent or minimize sore nipples. Consider starting the feedings on the least sore side first, since babies tend to be the most vigorous on the first breast. In the first few weeks, it may be helpful to feed sitting up using the most common feeding position, cradle hold. Use of a firm nursing pillow such as My Brest Friend can help bring the baby up to the level of the breast.
Many women also raise their feet on a footstool or phonebook to help raise their knees.
The baby should lie on his side, tummy to tummy, with his body in a straight line. Support your breast with your thumb on top and remaining fingers underneath, away from the areola. Encourage your baby to open his mouth by tickling your nipple on the baby's lower lip. When your baby opens his mouth wide, bring him onto the breast quickly, helping him take as much of the areola as possible. It may be necessary to repeat this process several times until the baby is positioned correctly.