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How do I know if I need a nipple shield?

Understanding Nipple Shields: Do You Need One?
Breastfeeding can be a beautiful yet challenging experience for many new mothers. While some may find it straightforward, others encounter various hurdles that can make the process difficult. One tool that can assist in overcoming these challenges is the nipple shield. But how do you know if you need one?
What is a Nipple Shield?
A nipple shield is a breastfeeding aid designed to help mothers and babies during nursing. It resembles a small, flexible cap made of soft plastic or silicone that fits over the nipple and areola. This device can serve multiple purposes, particularly for mothers facing specific breastfeeding issues.
When to Consider Using a Nipple Shield
There are several scenarios in which a nipple shield may be beneficial:
1. Flat or Inverted Nipples: For mothers with flat or inverted nipples, a nipple shield can help draw out the nipple, making it easier for the baby to latch on effectively.
2. Latching Difficulties: If your baby is struggling to latch properly, a nipple shield can provide a more familiar shape for them to grasp, potentially improving their ability to suck.
3. Sore or Cracked Nipples: If breastfeeding is causing pain or discomfort, using a nipple shield can create a barrier that reduces direct contact, allowing for a more comfortable feeding experience.
4. Supplementing Milk Supply: In cases where a mother’s milk supply is low, a nipple shield can help facilitate feeding while also allowing for the use of supplemental milk.
5. Transitioning to Breastfeeding: For premature babies or those who have difficulty breastfeeding, a nipple shield can provide extra time for them to learn how to nurse effectively.
Potential Drawbacks
While nipple shields can be helpful, they are not without their drawbacks. Some experts caution that the benefits may not always outweigh the disadvantages. For instance, prolonged use of a nipple shield can lead to decreased milk supply or hinder the baby’s ability to latch correctly without it. Additionally, it’s essential to monitor your baby’s feeding to ensure they are getting enough milk, as using a shield can sometimes complicate this process.
Conclusion
Deciding whether to use a nipple shield is a personal choice that should be made in consultation with a healthcare provider or a lactation consultant. They can help assess your specific situation and determine if a nipple shield is the right solution for you. If you find yourself facing challenges with breastfeeding, don’t hesitate to seek support; the right tools and guidance can make all the difference in your breastfeeding journey.

What do flat nipples look like when breastfeeding?

If the nipple doesn’t become erect, then it is considered to be flat. If the nipple retreats or dimples inwards then it is inverted. In the early days of breastfeeding nipples can look flat due to engorgement (breast fullness). Truly flat or inverted nipples never become erect when stimulated or exposed to cold.

Will I ever be able to breastfeed without a nipple shield?

However, given time and patience, it is usually possible for a baby to learn to breastfeed without the shield. An LLL Leader can be a useful source of support if you need to choose, use and wean from nipple shields.

Why aren’t nipple shields recommended?

Why shouldn’t all moms use a nipple shield? The thin silicone layer of the shield interferes with the normal sensory feedback between the baby and the breast. Many moms find their milk supply gradually decreases with the shield.

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.

Do flat nipples affect breastfeeding?

Flat and inverted nipples lay flat or point inward instead of sticking out. They’re usually harmless, but they can make breastfeeding (chestfeeding) more difficult.

When would you use a nipple shield?

Some of the reasons for using them include: sore, damaged nipples. attachment issues (e.g. flat or inverted nipples, baby having mouth variations such as a high palate or because of being premature) a baby learning to feed at the breast after using a bottle.

What does a good latch look like with a nipple shield?

When your baby is latched correctly to the nipple shield, their mouth should be over the whole nipple with their lips extended around the areola. Your baby shouldn’t be sucking on just the tip of the nipple.

Why are nipple shields discouraged?

Although nipple shields may be a useful tool in certain situations, they also may cause challenges. Nipple shields create a barrier, may exacerbate latch issues when mom attempts to go back to direct breastfeeding, and they can lead to poor milk transfer and decrease mom’s milk supply.

How do you know if you need a nipple shield?

Your nipples are sore, cracked or bleeding from a poor latch. Wearing a shield could help your nipples heal. But your provider will still want to find the cause of the poor latch and address it directly. You’re transitioning your baby from a bottle to breastfeeding.

What is the most likely reason for recommending a nipple shield?

Nipple shields are usually recommended to mothers for flat nipples or in cases in which there is a failure of the baby to effectively latch onto the breast within the first 2 days postpartum.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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