ShePrep

Can I get a piercing while breastfeeding?

Written by Andy Hendrick
6 sources cited

Safe in moderationNo nipple piercings while feeding; licensed premises only

Ear and most body piercings do not affect your milk, but a fresh piercing is an open wound and infection is the real consideration. Nipple piercings are different and should not be done while breastfeeding: the Australian Breastfeeding Association says healing can take a year or more.

The verdict

Two different answers, depending on where.

Ears, nose, navel and most body sites: nothing about the piercing enters your bloodstream or your milk, and there is no reason to interrupt feeding. The consideration is infection, and the way to manage it is to choose a properly licensed studio and follow aftercare.

Nipples: no. Not while you are breastfeeding. The Australian Breastfeeding Association is clear that piercings need to be fully healed before you start breastfeeding, and that healing can take a year or more. Piercing a nipple that is in active use for feeding creates an open wound in tissue a baby latches onto several times a day.

Why a piercing does not reach your milk

A piercing is a hole and a piece of metal. Nothing is absorbed systemically. Implant-grade metals used by reputable piercers are chosen for biocompatibility and do not leach into the bloodstream in meaningful amounts.

The Australian Breastfeeding Association makes the parallel point about tattoos, which raise the same category of question: no negative effects on babies have been reported when a breastfeeding mother gets a tattoo, tattoo ink molecules are large and unlikely to pass into breast milk, and the risk of infection passing to your baby through breast milk is very low, especially at a registered studio with strict hygiene practices.

So the honest framing is that this is not a milk question. It is a wound question.

The risk that is real: infection

A fresh piercing is a wound that stays open for weeks to months. Local infection is common and is usually manageable, but two consequences are worth thinking about specifically while you are breastfeeding.

Treating an infection may mean antibiotics. Most are compatible with breastfeeding, but it is an avoidable complication, and if you are prescribed anything, tell the prescriber you are feeding so a suitable option is chosen. The Breastfeeding Network's Drugs in Breastmilk service answers this for UK parents, and LactMed covers it internationally. This site publishes no doses.

Blood-borne viruses are the more serious concern with unlicensed piercing. Hepatitis B, hepatitis C and HIV can be transmitted by contaminated equipment. That risk is essentially eliminated by using a licensed studio with single-use sterile needles, which is why the choice of premises matters more than anything else on this page.

UK piercing studios must be registered with their local authority, and standards are enforced by environmental health. Check the registration certificate, look at whether needles are opened in front of you, and walk out if anything looks improvised. NHS advice on cosmetic procedures generally applies: check training and registration, and understand what happens if something goes wrong.

Aftercare with a baby around

Wash your hands before touching a healing piercing. Expect a navel piercing to be irritated by baby-carrying and by waistbands, and expect ear piercings to be grabbed. Long dangly jewellery and small hands are a poor combination, and a pulled fresh piercing tears rather than stretches.

If a piercing becomes hot, swollen, increasingly painful or produces coloured discharge, or if you develop a fever, get it seen rather than waiting.

Nipple piercings, in detail

The Australian Breastfeeding Association's guidance is the clearest available.

Healing takes a long time: piercings need to be fully healed before you start breastfeeding, and healing can take a year or more. If your piercings are recent or still healing, you may be at higher risk of infection or discomfort.

They can affect milk flow: in some cases, nipple piercings can affect milk flow if milk ducts or nerves are damaged, although the other breast may compensate by producing more milk.

Jewellery must come out for feeds: removing nipple jewellery before breastfeeding helps keep feeds safe and comfortable for your baby. There is a choking risk if jewellery comes loose, and nipple jewellery can rub or press on delicate tissues, which may harm your baby's lips, gums, tongue or palate. It can also interfere with latch, cause milk to leak from the baby's mouth, and reduce supply over time.

Adding a new wound to a nipple that is being used many times a day, in a warm moist environment, with a healing time measured in months, is not a reasonable trade. Wait until you have finished breastfeeding.

If you already have healed nipple piercings and are feeding, our page on breastfeeding with implants or nipple piercings covers what to expect.

Oral and tongue piercings

Mouth piercings deserve a separate mention because the mouth heals differently. Swelling in the first days can make eating and drinking difficult, which is a poor combination with the fluid demands of milk production. Oral piercings also carry a higher infection rate than most sites, and they can chip teeth and cause gum recession over time.

If you are also thinking about dental work, get that done first. Our page on dental anaesthetic covers why routine dentistry needs no interruption to feeding, and a dentist would rather assess your mouth before a new piercing than after.

One practical footnote: blood donation

Piercings and tattoos carry a deferral period for blood donation in most countries. If you were planning to donate, check the rules first, and see our page on donating blood while breastfeeding for the country-by-country position.

Where guidance differs

Very little is published, and what exists agrees.

Australia, through the Australian Breastfeeding Association, gives the fullest guidance: piercings must be fully healed before breastfeeding, healing takes a year or more, jewellery must be removed for feeds, and tattoo ink and infection risk through milk are negligible at a hygienic studio.

The UK, through the NHS, publishes advice on choosing a cosmetic practitioner and on infection risk from piercing, but nothing lactation-specific.

The US, Canada and Ireland publish no breastfeeding-specific piercing guidance.

No authority anywhere publishes a waiting period before feeding after a piercing, or advises discarding milk, because there is no mechanism that would require it. The advice that does exist is about wounds, hygiene and jewellery, and it is worth following.

Guidance by country

The Australian Breastfeeding Association states that piercings need to be fully healed before you start breastfeeding and that healing can take a year or more, that recent or still-healing piercings carry a higher risk of infection or discomfort, and that nipple jewellery must be removed before feeds because of the choking risk and the risk of harm to your baby's lips, gums, tongue or palate.

Showing guidance from Australian Breastfeeding Associationread the source.

Sources

  1. Breastfeeding and nipple piercing Australian Breastfeeding Association, accessed
  2. Tattoos, beauty treatments and breastfeeding Australian Breastfeeding Association, accessed
  3. Advice about cosmetic procedures NHS, accessed
  4. Drugs in Breastmilk service The Breastfeeding Network, accessed
  5. Drugs and Lactation Database (LactMed) National Library of Medicine, accessed
  6. Donating blood La Leche League International, accessed