How long should you use a nipple shield when breastfeeding?

Understanding Nipple Shields in Breastfeeding
Nipple shields are specialized devices designed to assist mothers during breastfeeding, particularly in situations where latching difficulties arise. These shields, typically made from soft plastic or silicone, cover the nipple and provide a more manageable surface for infants to latch onto. However, the question of how long one should use a nipple shield is nuanced and depends on individual circumstances.
Duration of Use
Experts generally recommend that nipple shields should be used only as a temporary solution. The primary goal is to address specific breastfeeding challenges, such as a baby struggling to latch properly or a mother experiencing pain during feeding. While some infants may adapt quickly and only require the shield for a few sessions, others might need it for a longer period. In some cases, mothers report using the shield for several weeks, but this is not ideal for long-term breastfeeding success.
The consensus among lactation consultants is to gradually wean off the nipple shield as soon as the breastfeeding relationship stabilizes. This might involve trying to breastfeed without the shield during less stressful feeding times, such as when the baby is calm and not overly hungry. The aim is to encourage the baby to latch directly onto the breast, which can enhance milk transfer and promote a more effective feeding experience.
Signs It’s Time to Transition
Mothers should look for signs that their baby is ready to transition away from the nipple shield. These can include improved latching, less fussiness during feeds, and the ability to suck effectively without the shield. If a baby is consistently able to latch without the shield, it may be time to discontinue its use.
Expert Recommendations
While nipple shields can be beneficial, they are not a one-size-fits-all solution. The American Academy of Pediatrics and other breastfeeding organizations suggest that mothers consult with a lactation consultant to determine the best course of action tailored to their specific situation. This professional guidance can help ensure that the use of a nipple shield does not inadvertently prolong breastfeeding difficulties or lead to issues such as decreased milk supply.
In summary, while nipple shields can provide essential support during breastfeeding, they should be used for the shortest time necessary. The focus should always be on fostering a direct breastfeeding relationship, which is crucial for both the mother and the baby’s health and well-being.

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.

Do babies eat faster without a nipple shield?

Some babies will just learn that they can get milk quicker without the shield and learn to prefer the breast… This happened for us at a little over 3 months old, so it is possible! The truth is now that teeth are involved, parts of me miss that annoying shield.

What are the disadvantages of using nipple shields?

Some of the disadvantages of using a nipple shield are:

• It’s difficult to wean a baby from a 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.

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.

How long can you leave on nipple covers?

Remove the backing from your nipple covers and apply directly to your skin. It is recommended that you do not wear these for more than 6-8 hours at a time to allow your skin to breathe.

What are the downsides of nipple shields?

They may become too dependent on it. 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.

Why can’t you use nipple shields long term?

Long term use of nipple shields in an incorrect manner CAN lead to a decrease in supply.

Do nipple shields decrease milk supply?

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.

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.

When should I stop using a nipple shield?

As a result, the babies drink much more milk from the breast than they could if the shield were not used. Because suction pressures increase as premature babies approach their expected birth dates, nipple shields are necessary only until about that time.