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NIPPLE SHIELDS
A nipple shield is made of thin, flexible silicone and is used to cover a mother's nipple
and areola while the baby is nursing. The baby sucks on the nipple shield rather than
directly on the breast.
A nipple shield can be used to protect a sore nipple during feedings. A nipple shield may
also be used when a baby is having difficulty latching on to a flat or inverted nipple.
CAUTIONS
There are two problems associated with nipple shields.
With a shield in place the breast does not receive the same kind of stimulation that it
does when a baby sucks directly on the breast. This leads to a reduction in milk
supply.
Baby learns to latch on to the nipple shield, rather than to the breast. Weaning from
the shield can be difficult.
If you're dealing with sore nipples or latch-on difficulties, it's better to avoid nipple
shields and work directly on resolving the problem. Nipple shields should not be the first
line of defense for dealing with sore nipples.
WHEN TO USE A NIPPLE SHIELD
Some lactation experts find nipple shields useful in some very specific situations, such as
when the baby is unable to latch onto the breast without the shield; for example, a mother
with very large nipples and a baby with an unusually small mouth and jaw structure.
If you do use a nipple shield, try to use it only in the first few minutes of a feeding. Once the
baby is latched on and his sucking has pulled out the flat nipple, quickly remove the
shield and get the baby to attach directly to the breast. Eventually, you will need to wean
baby off the shield to insure that you maintain an ample milk supply.
Back in the days when nipple shields were made of latex, mothers were told to trim a
little bit off the nipple shield each day in order to wean the baby onto the breast. This is not
possible with the newer silicone shields, since cutting them leaves a dangerously sharp
edge.
WHERE TO BUY
Nipples shields are available from companies that sell breastfeeding
products, as well as from many lactation consultants. If you are
considering using a nipple shield, get help from a lactation consultant, so that you can
work on resolving the problem that has made it necessary to nurse with a nipple shield.
AskDrSears.com is intended to help parents become better informed consumers
of health care. The information presented in this site gives general advice
on parenting and health care. Always consult your doctor for your individual
needs.