A nipple shield is a silicone apparatus placed over the nipple to aid infants who encounter difficulties during breastfeeding (also known as chestfeeding or nursing). It comprises a base encircling the areola (the skin surrounding the nipple) with a cone-shaped section designed for the nipple. Some nipple shields feature a cutout section to enhance skin-to-skin contact between the parent and baby. The nipple portion of the shield contains small perforations at the tip, enabling milk to flow into the baby’s mouth. Typically, nipple shields are thin, pliable, and see-through.
The purpose of using a nipple shield is to assist newborns who struggle to nurse effectively, often due to a poor latch or other related issues. Discontinuation of nipple shield use occurs once the baby improves at nursing and breastfeeding challenges are resolved. Nipple shields are considered a final option when other strategies for establishing breastfeeding prove unsuccessful. They should only be employed temporarily and under the supervision of a healthcare professional or lactation consultant.
When do people use nipple shields?
Families often turn to nipple shields during the initial weeks after birth when their baby is in the process of learning to breastfeed. In these early stages, some babies encounter difficulties in latching onto the breast due to various reasons. This challenge may result in inadequate milk intake for the baby and subsequently, poor weight gain. Introducing a nipple shield can offer the baby additional time to grasp nursing techniques or enhance their sucking ability.
For parents committed to breastfeeding, utilizing a nipple shield enables them to sustain breastfeeding practices and avoid resorting to bottle feeding or transitioning to formula.
It is advisable to consult with a lactation consultant before resorting to a nipple shield. Consultants typically explore alternative methods to enhance breastfeeding before suggesting the use of a nipple shield. As your baby becomes more proficient at nursing and breastfeeding becomes more manageable, your lactation consultant can guide you in discontinuing or gradually reducing reliance on the nipple shield.
What does a nipple shield help with?
A nipple shield plays a crucial role in facilitating your baby’s latch during breastfeeding. The term “latch” refers to how your baby’s mouth attaches to both your nipple and areola while nursing. A proper latch enables your baby to effectively empty the breast and receive an adequate amount of milk during feeding sessions. Conversely, an improper latch often leads to discomfort during breastfeeding, as the baby may only suck on the tip of the nipple rather than encompassing the entire areola in their mouth.
Using a nipple shield may be beneficial in the following situations:
- Your baby is born prematurely and may lack the strength to suckle or latch onto the nipple.
- Your baby experiences conditions such as tongue-tie, tongue thrust, or a retracted tongue, which may hinder effective latching but can improve with time or intervention.
- You have inverted, short, or flat nipples, and the shield helps elongate and firm up the nipple for better latch-on.
- Your breasts are exceptionally soft, and the shield provides additional support and firmness.
- Your baby requires extra stimulation to initiate sucking, and a longer nipple provided by the shield can stimulate the roof of their mouth, where the suck reflex is triggered.
- Your nipples are sore, cracked, or bleeding due to poor latch, and wearing a shield can aid in the healing process.
- You experience an overactive let-down, which refers to the initial flow of milk from the nipple.
- You’re transitioning your baby from bottle feeding to breastfeeding.
Before using a nipple shield, it is advisable to consult with a lactation consultant. They will assess your baby’s latch and nursing position to determine if a nipple shield is truly necessary. In many cases, minor adjustments can be made to prevent the need for a nipple shield altogether.
Read Also: Newborn hiccups after feeding: Baby hiccups Solutions.
How do you put a nipple shield on?
Ensuring the correct size and proper application of your nipple shield is essential to avoid breastfeeding complications and ensure the flow of milk from your breast to your baby.
Here are the steps for applying a nipple shield correctly:
- Prepare the Shield: Turning the nipple shield inside out before applying it can help draw your nipple into the cone-shaped area more effectively.
- Positioning: Place your thumbs on the base of the nipple shield and flip it halfway inside out, leaving a small dimple at the end. This action should draw your nipple into the nipple area of the shield as deeply as possible once it’s applied.
- Placement: Insert your nipple into the dimple and then stretch the silicone base of the nipple shield over your breast. It should fit snugly around your areola, and your nipple should be positioned deep into the nipple area of the shield. Ensure your nipple fits comfortably without scraping against the sides.
- Optional: Lubrication: Applying nipple cream or water around the edge of the nipple shield may help it adhere better to your breast.
Your nipple shield will likely come with instructions that you can follow. If you’re working with a lactation consultant, don’t hesitate to ask them to demonstrate how to properly apply the nipple shield for optimal effectiveness.
What are the advantages of using a nipple shield?
Employing a nipple shield typically represents a final option for lactation professionals due to the potential drawbacks outweighing the benefits. The use of a nipple shield may be recommended under the following circumstances:
- Your baby experiences challenges with their mouth or tongue, impacting their ability to latch effectively. This could stem from prematurity or conditions like tongue-tie.
- Your nipple is short or inverted, failing to reach the roof of your baby’s mouth where the sucking reflex is initiated.
- All other strategies to enhance your baby’s latch have been exhausted without success.
- Your nipple sustains damage and requires time to heal while efforts are made to improve your baby’s latch quality.
How long can I use a nipple shield?
Many lactation consultants typically advocate for the temporary use of a nipple shield, ideally for a few weeks or less. Prolonged reliance on a nipple shield often complicates the process of discontinuation and may disrupt your milk supply. Your lactation professional can assist you with the weaning process, facilitating a smoother transition for both you and your baby.
Does a nipple shield help with pain?
Certainly, a nipple shield can provide relief for cracked, sore, or bleeding nipples, often caused by a poor latch during breastfeeding. However, it’s important to note that even while using a nipple shield, if your baby continues to latch poorly, you may still experience discomfort. Correcting your baby’s latch is essential for alleviating nipple pain. Once your baby latches correctly, breastfeeding should become pain-free, even without the need for a nipple shield.
Conclusion
Understanding how to use a nipple shield effectively is crucial for parents navigating breastfeeding challenges. Proper application involves turning the shield inside out, ensuring a snug fit around the areola, and positioning the nipple deeply into the shield’s cone-shaped area. Lubrication and guidance from a lactation consultant can enhance the application process.
While nipple shields offer temporary relief for issues like soreness and poor latching, they should be approached as a short-term solution. Seeking professional advice and addressing underlying latch issues remain paramount for sustained breastfeeding success. With patience, support, and the right techniques, parents can navigate breastfeeding journeys more comfortably and confidently, ensuring the best outcomes for both themselves and their babies.
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