breastfeeding directly with a nipple shield.

A nipple shield is a flexible silicone nipple that is worn over the mom’s nipple during a feeding

LOVE MY® Nipple Shield, for breastfeeding mothers,Reusable and Washable,All-natural Against Your Skin, Medium 2 Pack

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  • For some women, the only way they will ever be able to breastfeed is with a nipple shield, where for others it is just a temporary solution. There is nothing wrong with using a nipple shield as long as it is placed and used correctly. Several years ago, the way nipple shields were made and used, the device actually lowered milk supply. This is no longer the case. The way the shield is manufactured actually helps maintain milk supply for some mothers, and in several recent studies it is actually recommended to use a nipple shield with premature babies as it will aid in boosting milk supply. However I ONLY recommend using a 24mm, medium sized shield as this is in my opinion the only size that can aid in production and decrease pain of nipple trauma. If the shield is too small it can decrease your supply which aids the old school train of thought that all nipple shields are bad for breastfeeding. My take on the subject has always been if it helps the mother and the baby maintain a good breastfeeding relationship, and it is not affecting the milk supply there is nothing wrong with using one as long as the mother uses it correctly and follows the below guidelines.

    For some women, the only way they will ever be able to breastfeed is with a nipple shield, where for others it is just a temporary solution. There is nothing wrong with using a nipple shield as long as it is placed and used correctly. Several years ago, the way nipple shields were made and used, the device actually lowered milk supply. This is no longer the case. The way the shield is manufactured actually helps maintain milk supply for some mothers, and in several recent studies it is actually recommended to use a nipple shield with premature babies as it will aid in boosting milk supply. However I ONLY recommend using a 24mm, medium sized shield as this is in my opinion the only size that can aid in production and decrease pain of nipple trauma. If the shield is too small it can decrease your supply which aids the old school train of thought that all nipple shields are bad for breastfeeding. My take on the subject has always been if it helps the mother and the baby maintain a good breastfeeding relationship, and it is not affecting the milk supply there is nothing wrong with using one as long as the mother uses it correctly and follows the below guidelines.

  • The literature search yielded 261 articles, of which 68 were from MEDLINE, 151 from EMBASE, 11 from Cochrane Central, and 31 from CINAHL. Of those, 31 articles were identified for full-text review as specified by the inclusion criteria; 17 of the 31 articles were rejected after full-text review. Some of the reasons for exclusion were the lack/absence of relevant information regarding breastfeeding outcomes with nipple shield use as well as editorials and case reports. Of the 14 remaining articles (–, , , , –, –), three reported on physiological responses (, , ), two reported on premature infants (, ), eight reported on mothers’ experiences (, , , , , –), and one reported on health professionals’ experiences ().

    Leaders usually find themselves assisting the mother who is already using nipple shields rather than advocating for or against their use. Offering the mother what Leaders excel at, mother-to-mother support, is vital. Suggesting an increase in skin-to-skin contact between feedings can give both mother and infant a sense of enjoyment, better bonding, and decreased pressure to perform. Warm baths taken by mother and infant together can help them to achieve a state of relaxation that may encourage the infant to latch on at the breast without the nipple shield. Sleepy infants are less resistant to the change from shield to breast; encouraging the mother to attempt latching the baby on during early morning, naptime, or nighttime feedings might be helpful. Mothers who are trying to teach their infants how to breastfeed without the nipple shield will need a great deal of support. Stress levels are elevated during this time and many mothers have weaned from breastfeeding completely when faced with the additional challenges of feedings that do not go as anticipated.

Nipple Shields - Newman Breastfeeding Clinic & Institute