The Silent Discomfort: Understanding Thrush in the Breastfeeding Journey
In the tender days and weeks after birth, nursing is often imagined as a sweet, bonding moment between mother and baby. But for many new mothers, breastfeeding can come with unexpected hurdles, including the sharp, burning pain of nipple thrush.
What Is Thrush?
Thrush, also known as oral candidiasis, is a yeast infection caused by an overgrowth of the fungus Candida albicans. It can appear in the baby’s mouth and transfer to the mother’s nipples, or vice versa. While Candida is a normal part of our body’s microbiome, it can flourish and cause discomfort when the natural balance is disrupted.
How to Spot Oral Candida in Babies
Thrush in babies may look like:
White patches on the tongue, gums, or inside cheeks that don’t wipe off
Fussiness during or after feeds
Diaper rash that doesn’t seem to respond to typical treatment
Because oral candida can be mistaken for leftover milk, it’s important to gently try wiping the white coating. If it doesn’t come off easily, it may be thrush.
Signs of Nipple Candida (Nipple Thrush) in Mothers
Mothers may experience:
Sharp, shooting pain in the nipples or breasts during or after nursing
Itchy, burning nipples that may appear shiny or flaky
Cracked nipples that don’t heal with lanolin or other balms
If both mother and baby show symptoms, treatment must include both to avoid passing the infection back and forth.
What Causes Candida Overgrowth During Breastfeeding?
Several factors can increase the likelihood of developing oral or nipple candida:
Antibiotic use during labor or postpartum
Cracked or damaged nipples
Warm, moist environments (nursing pads, tight bras)
Pacifiers or bottle nipples that aren’t sterilized frequently
A diet high in sugar or yeast
Healing and Relief: Treatment Options
Thankfully, thrush is highly treatable. At Aurora Midwifery, we encourage gentle, holistic care whenever possible, and we also understand the role of conventional medicine when necessary.
Treatment options may include:
Topical antifungals for both mom and baby, such as Nystatin or Miconazole
Oral antifungal medications for persistent cases
Probiotics for both mother and baby to help rebalance gut flora
Apple cider vinegar rinses (diluted) for nipples, under midwife or provider guidance
Gentle sterilization of pacifiers, bottles, and pump parts daily
Dietary support, including reduced sugar and yeast intake
The Emotional Side of Thrush
Thrush can feel like an invisible struggle, there are often no visible signs beyond the pain, and it can feel discouraging during a time when mothers already feel tender and tired. If you find yourself dreading feeds or feeling defeated, know that you’re not alone. Support, validation, and simple solutions are available.
Prevention Tips for Breastfeeding Mothers
Air-dry nipples after feeds when possible
Change nursing pads frequently
Maintain a diet rich in leafy greens, low-glycemic fruits, and fermented foods
Use sterilized water and tools for pumping or bottle feeding
Let your body rest and heal - yeast thrives when your system is depleted
Final Thoughts from Aurora Midwifery
Thrush is common, and it does not mean you’ve done anything wrong. With the right support, it can be resolved quickly and gently. At Aurora Midwifery, we walk alongside you through every part of the postpartum journey, including the hard, hidden parts.
If you suspect you or your baby has oral or nipple candida, reach out. You deserve to breastfeed in peace and comfort, and we’re here to help you find your way back to that place.
