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How to tell if a nipple shield is working?

Understanding Nipple Shields: Are They Working for You?
Nipple shields are specialized breastfeeding aids designed to assist mothers and infants during nursing. They can be particularly beneficial for mothers with flat or inverted nipples, as well as for babies who struggle to latch effectively. However, determining whether a nipple shield is working as intended involves observing several key factors.
Signs That a Nipple Shield is Effective
1. Improved Latch: One of the primary indicators that a nipple shield is working is an improved latch from the baby. The shield provides a larger, more defined surface for the baby to grasp, which can help facilitate a better feeding position. If your baby is able to latch on more easily and maintain that latch throughout the feeding, this is a positive sign that the shield is serving its purpose.
2. Satisfactory Milk Transfer: Another critical aspect to monitor is whether your baby is effectively transferring milk while using the shield. You can gauge this by observing the baby’s swallowing patterns and listening for audible swallowing sounds. Additionally, if your baby appears satisfied after feedings and is gaining weight appropriately, it suggests that the nipple shield is allowing for adequate milk intake.
3. Comfort During Feeding: While using a nipple shield, mothers should feel comfortable during the feeding process. If the shield is causing pain or discomfort, it may not be fitting properly or may not be the right solution for your situation. A well-fitted shield should not cause any additional pain compared to breastfeeding without one.
4. Baby’s Adaptation: Over time, if your baby becomes accustomed to the nipple shield and shows a willingness to nurse without it, this can indicate that the shield is working effectively. However, it’s essential to be cautious, as some babies may become reliant on the shield, making it challenging to transition back to breastfeeding without it.
Potential Drawbacks to Consider
While nipple shields can be beneficial, they are not without their drawbacks. Some studies suggest that the use of nipple shields may not always be effective or safe, and they can sometimes lead to issues such as reduced milk supply or difficulty transitioning back to direct breastfeeding. Additionally, if a baby becomes too accustomed to the firmness of the shield, they may struggle with the softer texture of the natural nipple.
Conclusion
In summary, to determine if a nipple shield is working, observe your baby’s latch, milk transfer, and overall comfort during feedings. While nipple shields can provide essential support in certain breastfeeding challenges, it’s crucial to remain vigilant about their long-term effects on both mother and baby. If concerns arise, consulting with a lactation consultant can provide personalized guidance and support.

How to know if a nipple shield is working?

These signs mean you’re using the shield correctly:

  1. Your baby is attached deeply onto the breast.
  2. It doesn’t hurt or pinch when your baby sucks.
  3. The shield isn’t puckered or dented when your baby is latched.
  4. You hear and see your baby swallowing.
  5. Your baby is sucking and swallowing in a regular pattern.

How do you fix a shallow latch when breastfeeding?

You may also need to use the exaggerated latch or flipple technique

  1. Hold your breast and shape it so that your nipple is pointing up against your baby’s nose.
  2. Shape your breast like a hamburger in line with the baby’s mouth.
  3. Wait till your baby roots and opens it’s mouth very wide.

Do babies get more milk without a 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.

How to get a deeper latch?

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.

Should I pump after using a nipple shield?

You should be pumping for a few minutes after feeding if using the shield, as they can cause issues with low supply. A slight oversupply is usually enough to mitigate the issue, though.

Do I always have to hold my breasts while breastfeeding?

First of all, because it is not needed. You also “lose” a useful hand by trying to keep your breast away from the baby’s nose. Furthermore, holding the breast during the feed could unintentionally cause the baby to latch on poorly (more on how to achieve a good latch here).

How should nipple fit in nipple shield?

The nipple should be centered in the breast shield and move freely in the tunnel. The nipple should not rub against the sides of the breast shield tunnel. Mothers with large breasts may not be able to visualize their nipples and may require assistance to center their nipples in the breast 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.

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 should latch look with 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.

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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