Why use a nipple shield for breastfeeding?

Understanding Nipple Shields in Breastfeeding
Breastfeeding is often heralded as a natural and beneficial way to nourish infants, but it can come with its own set of challenges. For some mothers, nipple shields emerge as a practical solution to various breastfeeding difficulties. These silicone devices, designed to fit over the nipple, serve multiple purposes that can enhance the breastfeeding experience for both mother and baby.
What is a Nipple Shield?
A nipple shield is a thin, flexible device that covers the nipple and areola, creating a barrier between the baby’s mouth and the mother’s skin. The design typically features a cone-shaped area that allows the baby to latch on while providing a more comfortable experience for the mother. This tool can be particularly beneficial for mothers experiencing pain or discomfort during breastfeeding, as it offers a protective layer that can alleviate soreness from cracked or bleeding nipples.
Reasons for Using Nipple Shields
The use of nipple shields is often recommended in specific situations. For instance, they can assist premature infants who may struggle to create an effective latch due to their underdeveloped sucking reflexes. The shield helps position the nipple in a way that facilitates easier sucking, allowing the baby to feed more effectively. Additionally, mothers who are transitioning from bottle feeding to breastfeeding may find nipple shields helpful in easing this shift, as they can mimic the shape and feel of a bottle nipple.
Moreover, nipple shields can serve as a temporary solution for mothers dealing with significant breastfeeding challenges. For example, they can be beneficial for those experiencing severe nipple pain or discomfort, allowing them to continue breastfeeding while healing. This can be crucial for maintaining the breastfeeding relationship, especially in the early weeks when both mother and baby are still adjusting.
Controversies and Considerations
Despite their advantages, the use of nipple shields is not without controversy. Some studies have indicated that while nipple shields can facilitate breastfeeding, they may also reduce the amount of breast milk transferred to the baby compared to direct breastfeeding. This has led to debates within the lactation community about their long-term efficacy and potential drawbacks. However, recent research suggests that when used appropriately, nipple shields can lead to successful breastfeeding outcomes, particularly when they help establish or maintain breastfeeding in challenging situations.
Conclusion
In summary, nipple shields can be a valuable tool for mothers facing various breastfeeding challenges. They provide a protective barrier that can alleviate pain, assist with latching issues, and support the transition from bottle to breast. While there are valid concerns regarding their impact on milk transfer, many mothers find that the benefits outweigh the risks, particularly in the early stages of breastfeeding. As with any breastfeeding aid, it is essential for mothers to consult with healthcare professionals to determine the best approach for their unique situations.

What are the downsides of nipple shields?

There are some drawbacks to using a nipple shield. I find that when shields are being used, the amount of time it takes a baby to breastfeed can increase. Sometimes the feeds aren’t always as efficient as there is a barrier between baby and the breast (this is why breast compression comes in handy).

Do I need nipple shields for breastfeeding?

A nipple shield can help with some breastfeeding problems, but it does not help with every problem and needs to be used carefully. For example, you might consider a nipple shield if you have damaged nipples. But it’s best to speak to a lactation consultant first so they can help you and your baby get a good latch.

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 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 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).

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 likely reason to use 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.

What is the Flipple method?

The Nipple Tilt Technique
This is also known as the “flipple” technique. Hold your breast with your thumb on top and your fingers on the bottom. Place your thumb well back from the base of the nipple. This is in line with where your baby’s upper lip will be once she has latched.

Why do midwives not recommend nipple shields?

A nipple shield can be a temporary solution but not a permanent fix to an underlying problem. They may affect transfer of milk to the baby which may contribute to poor weight gain and health problems for both mother and baby.

Do babies get milk faster without a nipple shield?

With the newer thin silicone nipple shields, this doesn’t happen as much. However, your baby may still take a little longer to feed than they would without it, as the nipple shield will still slow the flow a bit. If your baby’s attachment is still not great, then they may not get as much milk.