Nipple Shields

Nipple Shields




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A nipple shield is a flexible silicone nipple that is worn over the mom’s nipple during a feeding. Nipple shields should in general be considered a short-term solution and should be used under the guidance of a lactation consultant .
Often, nipple shields are recommended within the first few days of birth. Frequently in these cases, the shields are not needed and are handed out without proper instructions for using and weaning from them – a shield should generally not be used during the first week after birth unless there is an obvious problem such as prematurity or difficulty latching which is attributable to some physical characteristic of the baby. Here is more information on when baby is not latching on yet , sore nipples , and getting a good start on breastfeeding .
Disadvantages to the nipple shield include:
Although nipple shields should be used only after other options have been tried, it is better to have a baby on the breast with a shield than not on the breast at all!
If you’re using a shield, the thin clear silicon type of nipple shield is the best to use. There is also a variety of shield with a cutout that allows for more skin-to-skin contact than the typical shield. If you’re using a rubber shield, seriously consider getting a silicone one instead. Using a baby bottle nipple on the breast is never a good recommendation.
Here are a couple of things to keep an eye on until baby is weaned from the shield. By following through with the precautions that outlined below, you should be able to avoid or head off any problems:
These things can help you start to wean from the shield:
These last ones pertain more to taking the shield away:
Be sure not to make this a battle with the baby, or he will resist more. Don’t obsess with weaning off the shield to the point that you’re robbed of the joy of breastfeeding. As long as your baby is gaining weight well, then you have some time to play with. Keep trying as often as you can, and give it some time. There are some reports of moms continuing to use the shield for their whole breastfeeding experience, but most moms have taken anywhere from 2 days to about 4-5 weeks to accomplish completely weaning from the shield. Be patient with yourself and your baby while you work through this transition.
If you’re not already doing so, seriously consider contacting a lactation consultant (IBCLC) or an experienced breastfeeding counselor for one-on-one support. It can be great help to talk to someone face-to-face. Here is how to find breastfeeding help .
New Insights on Nipple Shields by Nancy Mohrbacher, from Breastfeeding Today. 2011 Mar;6(6):22-24.
Nipple Shield: Friend or Foe? by Nancy Mohrbacher, IBCLC, FILCA
Nipple Shield by Diane Wiessinger, MS, IBCLC
The Use of Nipple Shields: A Review . by Chow S, et al, from Front Public Health. 2015 Oct 16;3:236. doi: 10.3389/fpubh.2015.00236.
Nipple Shields: A Review of the Literature by Anne Chevalier McKechnie and Anne Eglash, from Breastfeed Med. 2010 Dec; 5(6): 309–314. doi: 10.1089/bfm.2010.0003
Updated on January 13, 2018 Filed Under: BF Concerns: Child , How to wean , Newborn Challenges
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