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Is it OK to always use a nipple shield while breastfeeding?

Understanding Nipple Shields in Breastfeeding
Nipple shields are small, thin devices made of silicone or plastic that fit over the nipple and areola, designed to assist with breastfeeding. While they can be beneficial in certain situations, the consensus among experts is that they should not be used as a long-term solution.
When Are Nipple Shields Helpful?
Nipple shields can be particularly useful for mothers experiencing difficulties with breastfeeding. They may help babies latch on more effectively, especially in cases where the mother has flat or inverted nipples, or when transitioning a baby from bottle feeding to breastfeeding. Additionally, they can provide relief for mothers with sore or cracked nipples, although alternatives like lanolin or gel pads are often recommended for these issues.
Experts suggest that nipple shields should be used only when necessary and for the shortest duration possible. They are typically recommended once a mother’s milk supply has stabilized and transitioned from colostrum to mature milk. This timing is crucial, as using a nipple shield too early can interfere with the establishment of breastfeeding.
Risks of Prolonged Use
While nipple shields can serve as a temporary aid, relying on them for extended periods may lead to complications. Prolonged use can affect the baby’s ability to latch properly, potentially leading to decreased milk supply and hindering the breastfeeding relationship. Moreover, they can create a barrier that prevents the baby from receiving the full benefits of direct breastfeeding, which includes skin-to-skin contact and the natural flow of milk.
Healthcare professionals, including lactation consultants, often advise against using nipple shields for the entirety of a feeding session unless specifically recommended. They emphasize the importance of addressing the underlying issues that necessitate the use of a shield, rather than relying on it as a permanent solution.
Conclusion
In summary, while nipple shields can be a helpful tool for certain breastfeeding challenges, they are not intended for constant use. Mothers are encouraged to seek guidance from healthcare professionals to explore alternative solutions and to ensure that breastfeeding is established effectively. The goal should always be to transition away from the shield as soon as possible, fostering a more natural breastfeeding experience for both mother and baby.

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.

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.

What is the disadvantage of nipple cover?

The cons of misusing a nipple shield can be; May contribute to low milk production after long periods of use. This is because decreased nipple stimulation has negative effects on milk-making hormones, such as prolactin and oxytocin.

Can I use nipple shields all the time?

In most cases, you only need to use a nipple shield for a short time. Breastfeeding experts have different opinions about nipple shields and when/if they should be tried. Some of the reasons for using them include: sore, damaged nipples.

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.

Do nipple shields increase mastitis?

Experts usually say to avoid nipple shields because they can affect how well milk is removed from the breast. This can increase risk for problems, such as mastitis.

Do nipple shields increase risk of mastitis?

Experts usually say to avoid nipple shields because they can affect how well milk is removed from the breast. This can increase risk for problems, such as mastitis.

Can nipple shield be used long term?

The nipple shield is a recommendation without regard to the long term, not only when recommended in the first few days but even in the mother whose baby has started to refuse the breast due to late onset decreased milk supply when there are more effective treatments.

What if my baby doesn’t want to latch without a nipple shield?

If your baby resists latching without the nipple shield, you can start the feeding session with the shield in place. Once your little one is comfortable and feeding well, unlatch, remove the shield, and re-latch. Continue to do this reducing the amount of time you feed with the shield in place at each session.

Is it safe to wear nipple covers every day?

Why Shouldn’t I Wear Nipple Covers Continuously? Skin Irritation: Prolonged use of nipple covers, especially in warm and humid environments, can lead to skin irritation, redness, and even infections like mastitis.

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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