A nipple shield is a thin, flexible piece of silicone that is placed over your nipple to potentially help the baby latch on to nurse. There are holes in the tip from which your breastmilk will come out when your baby sucks. Nipple shields can be an effective tool but should not be the first option we reach for when there's breastfeeding difficulties. If you are planning on using a nipple shield or are already using one, please consult with a lactation consultant to explore other techniques first and to ensure appropriate use.
A nipple shield may be beneficial when:
The parent has flat or inverted nipples and the baby has latching difficulties. The nipple shield provides a larger surface area for the baby to latch onto and helps shape flat or inverted nipples. The shield stimulates the baby's palate and can aid in drawing the nipple out for a better latch.
The parent has sore, cracked, and painful nipples. It's important to address the underlying cause, such as a shallow latch, to prevent further damage. A nipple shield provides a silicone barrier, allowing the nipples to heal while breastfeeding continues.
Wanting to transition the baby back to the breast once the baby has become used to the bottle. The nipple shield provides a familiar sensation for the baby, making it easier for them to latch on.
The parent has an overactive let-down or overproduction. This can cause the baby to choke, cough, and pull away from the breast during feeds. The nipple shield can help slow the flow until the baby regulates the milk flow.
A baby is premature or small. These babies might not have a strong suction just yet. The nipple shield can help them from slipping off of the breast and staying awake while they are still growing and getting stronger. Breastmilk may collect in the shield tip when they pause for a break, which is immediately available once sucking resumes.
Potential risks of using a nipple shield:
Nipple damage. Improper use or a poor fit of a nipple shield can cause nipple damage and pain.
Dependency. Babies may become accustomed to the feel and texture of the nipple shield, leading to dependency, making it harder to wean from it.
Ineffective milk transfer and low milk supply. If a nipple shield causes poor milk transfer, it can result in slow weight gain and decreased milk supply due to inadequate milk removal. Your milk supply works on supply and demand. You only make what you take out.
Plugged ducts and mastitis. Ineffective milk removal can lead to milk stasis, increasing the risk of plugged ducts and mastitis.
How to apply a nipple shield:
Follow Up:
Parents who are using a nipple shield will need close follow ups with an International Board Certified Lactation Consultant (IBCLC) to monitor the baby's intake, output, and weight gain. Pre and post feeding sessions with a lactation consultant can further assess if the baby is effectively removing milk.
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