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A poor latch. Nipple pain caused by a poor latch is usually immediate and often subsides during feeding. It is also extremely common. Getting the right latch should start right from a baby's first feeding. A new mom should ask her caregiver to place her baby on her stomach as soon as she's born.
Some women are sensitive to the plastics in breast shells, nipple shields, and pump flanges. Sore nipples in later months may be related to sucking pattern changes in a teething baby. Even changes in saliva associated with teething can be responsible for nipple pain (Wilson-Clay and Hoover 1999).