Do nipple shields affect milk supply?

Understanding Nipple Shields and Their Impact on Milk Supply
Nipple shields, often described as small, flexible devices that fit over the nipple, are sometimes used by breastfeeding mothers to address various challenges, such as latching difficulties or nipple pain. However, their impact on milk supply is a topic of considerable debate among lactation experts and healthcare providers.
The Mechanism of Nipple Shields
Nipple shields are designed to assist infants in breastfeeding by providing a more manageable surface for them to latch onto. They can be particularly beneficial for mothers experiencing issues like sore nipples or infants who struggle to latch properly. However, the use of these shields is not without its complications. Research indicates that while they can help initiate breastfeeding, they may inadvertently disrupt the natural breastfeeding process, which is crucial for establishing and maintaining an adequate milk supply.
Potential Risks to Milk Supply
One of the primary concerns regarding nipple shields is their potential to reduce milk transfer. Studies have shown that using nipple shields can lead to a significant decrease in the amount of milk transferred to the baby. For instance, one study found that the use of a specific type of nipple shield reduced milk supply by as much as 58% compared to breastfeeding without a shield. This reduction in milk transfer can hinder the baby’s ability to stimulate the breast effectively, which is essential for maintaining milk production.
Moreover, prolonged use of nipple shields can create a dependency that makes it challenging for mothers to transition back to direct breastfeeding. Experts recommend using nipple shields for the shortest time possible and developing a weaning plan with a lactation consultant from the outset. The longer a mother relies on a shield, the more difficult it may become to establish a robust milk supply.
When Are Nipple Shields Appropriate?
Nipple shields are typically suggested only after other breastfeeding interventions have been attempted. They are most effective when the mother’s milk supply is already established, transitioning from colostrum to mature milk. This timing is crucial because introducing a shield too early can interfere with the natural breastfeeding process, potentially leading to issues with milk supply.
Conclusion: A Balanced Approach
While nipple shields can provide temporary relief and support for breastfeeding mothers facing specific challenges, their use must be approached with caution. The potential for reduced milk transfer and the risk of disrupting the breastfeeding relationship necessitate careful consideration and guidance from lactation professionals. Ultimately, the goal should be to facilitate successful breastfeeding while ensuring that milk supply remains adequate for the baby’s needs.

How to get baby to latch deeper?

With your baby’s head tilted back and chin up, lift him or her to touch your nipple. The nipple should rest just above the baby’s upper lip. Wait for your baby to open very wide, then “scoop” the breast by placing the lower jaw on first. Now tip your baby’s head forward and place the upper jaw well behind your nipple.

Will a nipple shield slow down flow?

Concerns with the use of a nipple shield
However, your baby may still take a little longer to feed than they would without it, as the nipple shield will still slow the flow a bit. If your baby’s attachment is still not great, then they may not get as much milk.

How long is too long to use a nipple shield?

Nipple shields are designed to be used for as short a period as possible as you and baby develop your expertise in breastfeeding, they may no longer be necessary. If your baby is gaining weight appropriately then there is no rush to wean from the shield. Continue to access breast-feeding support services as needed.

Can nipple shields cause low milk supply?

This is important because using a nipple shield incorrectly may lower your milk supply. ​Breastfeeding correctly causes your body to make hormones that keep up your milk supply. A nipple shield should be put on properly so that your baby can latch deeply and drink well from your breast.

Why do lactation consultants hate nipple shields?

Infants tend to have a shallower latch when using the shield which may exacerbate the underlying issue. Nipple shields can lead to poor milk transfer and inadequate emptying of the breast which in turn decreases mom’s milk supply and may cause issues like plugged ducts and mastitis.

Do babies feed slower with nipple shield?

Concerns with the use of a nipple shield
However, your baby may still take a little longer to feed than they would without it, as the nipple shield will still slow the flow a bit. If your baby’s attachment is still not great, then they may not get as much milk.

Do babies drink less with nipple shield?

Using a nipple shield limits skin-to-skin contact between you and your baby. Your baby may not transfer as much milk through a nipple shield as they would directly from your nipple. This may lead to slow weight gain in your baby or low milk supply.

Do nipple shields affect maternal milk volume?

When considering all data, milk volume was associated with nipple shield use and degree of fullness of the breast. If a fitted nipple shield was used then the milk volume was 36.0 mL (10.3) lower than if no nipple shield was used (p = 0.002).

Why are nipple shields not recommended?

The thin silicon cover can reduce the signals your body needs to make milk. This can lead to reduced milk supply and your baby not gaining enough weight. Other risks with nipple shields include: blocked ducts, breast abscess and mastitis.

Do babies get more milk with or without nipple shield?

It was found that both nipple shields reduced milk transfer: the Mexican Hat decreased milk supply by 58%, with a mean volume of 19.5 g compared to a mean volume of 46.4 g without a shield, whereas the thin latex shield diminished milk intake by 22% from a mean volume of 38.4 g without a shield to 29.9 g.