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How do you choose the right nipple shield?

Choosing the Right Nipple Shield: A Comprehensive Guide
Selecting the appropriate nipple shield can be a pivotal decision for breastfeeding mothers facing challenges such as pain, latching difficulties, or flat nipples. Understanding the purpose, types, and proper usage of nipple shields is essential for ensuring a positive breastfeeding experience.
What is a Nipple Shield?
A nipple shield is a thin, flexible device designed to cover the nipple during breastfeeding. It serves as an aid for mothers who may encounter various breastfeeding challenges. Experts recommend using nipple shields only in specific situations and for limited durations to avoid potential dependency.
When to Consider Using a Nipple Shield
Nipple shields are particularly beneficial for mothers with flat or inverted nipples, as they can help facilitate a better latch for the baby. They are also useful in cases where the mother experiences significant pain during breastfeeding or when the baby struggles to latch effectively. However, it is crucial to consult with a lactation consultant or healthcare provider before using a nipple shield to ensure it is the right choice for your situation.
Types of Nipple Shields
Nipple shields come in various sizes and shapes, typically made from silicone or latex. The choice of material can affect comfort and ease of use. Here are some key considerations when selecting a nipple shield:
– Size: Nipple shields are available in different sizes to accommodate various nipple shapes and sizes. A proper fit is essential; if the shield is too large or too small, it may not function effectively. Many manufacturers provide guidelines for measuring and selecting the right size.
– Shape: Some nipple shields are designed with a more pronounced shape to mimic the natural nipple, which can help the baby latch more easily. Others may have a more standard design. Trying different shapes can help determine which one works best for both mother and baby.
– Material: Silicone is the most common material used for nipple shields due to its softness and flexibility. However, some mothers may prefer latex for its durability. It’s important to consider any allergies or sensitivities when choosing the material.
Using a Nipple Shield Correctly
To maximize the benefits of a nipple shield, proper usage is crucial. Here are some tips for effective use:
1. Preparation: Before using the shield, ensure that both the mother and baby are calm. It may help to practice skin-to-skin contact to promote bonding.
2. Placement: Position the nipple shield over the nipple and areola, ensuring it fits snugly. The baby should be brought to the breast, not the other way around, to encourage a natural feeding position.
3. Monitoring: Keep an eye on the baby’s feeding patterns and weight gain. If there are concerns about milk transfer, consult a lactation consultant for guidance.
4. Gradual Weaning: If the nipple shield is being used as a temporary solution, work towards gradually weaning off it as the baby becomes more adept at latching directly onto the breast.
Conclusion
Choosing the right nipple shield involves understanding your unique breastfeeding challenges and selecting a product that addresses those needs effectively. By considering factors such as size, shape, and material, and by using the shield correctly, mothers can enhance their breastfeeding experience and foster a stronger bond with their baby. Always remember that professional guidance is invaluable in navigating the complexities of breastfeeding, ensuring both mother and child thrive during this critical time.

What happens if you use the wrong size nipple shield?

Because of the above facts, it is so very important to have the right size breast shield. Not only will the wrong size cause discomfort, or downright pain, it can decrease the amount of milk you will pump … which will lead to a decrease in milk supply over time.

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.

What is the most common breast shield size?

The first step to success involves determining the best breast shield size based on the diameter of your nipple. The standard size is 24mm, but you may need a larger size. You have space around your nipple and not much of the areola is drawn into the tunnel with the nipple.

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.

What is the difference between a breast shield and a nipple shield?

There is a difference between the two, but nipple shields are often confused with breast shells and both are thought to serve the purpose of protecting the nipple. However, the former is used to aid in breastfeeding while the latter is used to protect the nipples post it.

How to know the correct size of nipple shield?

The size that’s right for you will depend on the size of your nipple. Your nipple should fit comfortably inside the conical shape of the nipple shield without touching the sides. If you’re unsure what size you need, talk to your lactation support provider.

How to know which nipple shield to buy?

Be sure to measure only the nipple and exclude the areola, the darker area around the nipple. Once you have measured your nipple, add approximately 0 – 3mm. For instance, 18mm + 3mm = 21mm breast shield size. It’s important to measure both sides since one side may require a different size than the other.

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 to choose nipple shields?

The shield teat should fit comfortably over the mother’s nipple with a small amount of space between the base and side of the nipple and the teat. As a general guide a full-term baby will need a medium or large size shield, and the nipple should fill the majority of the teat.

Do I need 20mm or 24mm nipple shield?

Yes you need the 24mm breast shield size – basically you need it to be a little bigger than your nipples so it doesn’t hurt them in the pump.

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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