Flat Nipple
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HomeBreastfeeding InfoInverted and Flat Nipples
Remember that babies BREASTfeed, not NIPPLEfeed. As long as your baby can take a good portion of your breast into their mouth (baby’s mouth and gums should bypass the nipple entirely and latch on to the areola), most types of flat or inverted nipples will not cause problems with breastfeeding. Some types of nipples are more difficult for a baby to latch on to at first, but in most cases, careful attention to latch and positioning, along with a little patience, will ensure that you and your baby get off to a good start with breastfeeding.
Just looking at the breast often won’t tell you the answer. Instead, you can determine whether or not your nipples are flat or inverted by doing a “pinch” test. Gently compress your areola (the dark area around the nipple) about an inch behind your nipple. If the nipple does not become erect, then it is considered to be flat. If the nipple retracts, or becomes concave, it is considered to be inverted. It should be noted, too, that true inverted or flat nipples will not become erect when stimulated or exposed to cold. If the nipple becomes erect during the “pinch” test, it is not truly inverted and does not need any special treatment.
Although opinions and experiences vary, many women have found treatments for inverted or flat nipples helpful and many breastfeeding experts continue to recommend them. Breastfeeding experts disagree on whether pregnant women should be screened for flat or inverted nipples and whether treatments to draw out the nipple should be routinely recommended. For example, the British Royal College of Midwives says that hormonal changes during pregnancy and childbirth cause many mothers’ nipples to protrude naturally. Although treating flat and inverted nipples during pregnancy is debated, if your newborn is having difficulty latching on to a flat or inverted nipple you may find some or all of the following helpful.
Discomfort as Adhesions stretch
Some mothers experience nipple soreness for about the first two weeks of nursing as their flat or inverted nipple(s) are gradually drawn out by baby’s suckling. If the soreness is severe, or continues past the initial two weeks, call your local LLL Leader for assistance.
Moisture Becoming Trapped as Nipple Inverts After Feeding
If your nipple retracts after feedings, that skin may remain moist, leading to chapping of the skin. After feeding, pat your nipples dry and apply an emollient safe for breastfeeding. You may also want to wear breast shells or other device to keep your nipple out between feedings so the skin can dry
When Nipple Soreness is Prolonged
Rarely, a mother may experience persistent sore nipples for a longer period of time because instead of stretching, the adhesions remain tight. This can create a stress point which may lead to cracks or blisters.
When a mother has deeply-embedded nipple, rather than compressing the milk ducts, the baby compresses the buried nipple instead. Because baby is unable to get the nipple correctly positioned in his mouth, he will not receive much milk for his efforts, and nursing will be painful for the mother. In this case an automatic double electric breast pump can help because, rather than compressing the mother’s areola, it uses uniform suction from the center of the nipple to draw the nipple out. Over time, this usually works to break the adhesions that are holding the nipple in.
If one breast is easier for baby to grasp and he nurses well from that breast, you can continue to feed on that side. You can pump the breast with the deeply inverted nipple until the adhesions loosen and the nipple is drawn out. Your baby will get all the milk he needs from one breast as long as he is allowed unlimited and unrestricted time at the breast.
If both nipples are deeply inverted, you can pump both breasts simultaneously for 15-20 minutes 8 or more times in 24 hours. You can feed your baby with an alternative feeding device until he is able to latch on effectively and comfortably.
How long you will need to pump in order to draw out your nipples depends upon the strength of the adhesions and the degree of inversion. For some mothers, one pumping is enough to completely draw out the nipple. If the nipple continues to deeply invert, you may need to continue pumping. When your nipple stays out after pumping, the mother can resume breastfeeding immediately.
Once your nipple can be drawn into the baby’s mouth correctly and the baby can breastfeed effectively, you should be able to discontinue pumping and breastfeed without discomfort.
On rare occasions you may continue to feel some discomfort even after your nipple has been drawn out. This could be due to the radical correction to the nipple.
After a nipple correction, rarely, the nipple may invert again as your baby pauses during a feeding. In this case, you may need to stop and pump again for a few minutes before putting baby back to the breast. As a temporary transition to exclusive breastfeeding, breast compressions or the use of a nursing supplementer might help to encourage continuous sucking and swallowing so that the nipple won’t be as likely to invert during feedings.
If you are experiencing difficulty with flat or inverted nipples you might benefit from remaining in contact with your local LLL Leader.
Our FAQs present information on topics of interest to parents of breastfed children. Not all of the information may be pertinent to your family’s lifestyle. This information is general in nature and not intended to be advice, medical or otherwise.
Medical questions and legal questions should be directed to appropriate health care and legal professionals.
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Different Types of Inverted and Flat Nipples
www.llli.org/breastfeeding-info/inverted-flat-nipples/
https://www.llli.org/breastfeeding-info/inverted-flat-nipples
Перевести · Different Types of Inverted and Flat Nipples Dimpled: Only part of the nipple protrudes. The nipple can be pulled out but does not stay that way. Unilateral: Only one breast has an inverted or flat nipple Inverted: There are different possible degrees of nipple inversion. The lesser degree of ...
https://www.verywellfamily.com/breastfeeding-with-flat-nipples-431881
Перевести · 20.04.2020 · What Are Flat Nipples? Flat nipples are not raised. They appear to lay even with the areola and the surrounding skin on your breast. Flat nipples do not stick outward from the breast, but they don't turn inward (inverted nipples) either.
https://www.verywellhealth.com/nipple-variations-430664
Перевести · 18.11.2019 · Types of Nipples Common Nipples. Protruding nipples stick out from the areola, and the amount they protrude varies. Other nipples are... Inverted Nipples. Inverted nipples are those that are withdrawn below the surface of the skin and lack the normal... Flat Nipples. Flat nipples are not raised. ...
https://www.breastfeeding.asn.au/bfinfo/inverted-and-flat-nipples
Перевести · Inverted and flat nipples. Nipples vary in shape, size and presentation from woman to woman and, for some women, left to right. Some nipples protrude from the level of the areola (see image below right). Flat nipples …
https://reduction-breast.com/flat-nipple-surgery-before-and-after
Перевести · The reasons for the formation of flat nipples include: Hereditary predisposition; Violation of the development of genital organs; Underdevelopment of milk ducts; Hyperfunction of the genital organs; Frequent …
https://www.babycenter.com/.../breastfeeding-with-flat-or-inverted-nipples_8689
Перевести · 29.05.2020 · A simple "pinch test" will show you whether your nipple is flat or inverted. Using your thumb and index finger, gently squeeze the areola about 1 inch behind the nipple. A normal nipple will protrude. If the nipple doesn't protrude, it's flat.
https://www.healthline.com/health/parenting/breastfeeding-with-flat-nipples
Перевести · 13.09.2018 · A nipple shield is a flexible, nipple-shaped shield that fits over a mother’s flat nipple and areola. It is used as a temporary …
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Перевести · Personalbaby sweetie first name, soft flat pink and gold colors, double bindings for nipple and ring of dentition, wooden shape of choice. BebePlumStore. From shop BebePlumStore. 5 out of 5 stars. (128) 128 …
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Перевести · Did you scroll all this way to get facts about flat nipple? Well you're in luck, because here they come. There are 171 flat nipple for sale on Etsy, and they cost $19.75 on average. The most common flat nipple …
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Flat Nipple
