Nipple shields can be helpful in some cases, but we do suggest proceeding with caution. Learn more about what nipple shields are, how they can be helpful and how to work off the shield once you are using one.
Nipple shields are a tool that can be used when nursing for a variety of reasons. A nipple shield is a thin, silicone device that is placed over the nipple to help a baby that is having trouble latching achieve a latch. Shields can be used in the early days of nursing when the baby struggles with milk flow or has trouble achieving a deep latch without pain for the nursing parent. The shield works by stimulating the roof of a baby's mouth and stimulating the sick reflex, thus causing them to suck. It is important to work with an international board-certified lactation consultant (IBCLC) when using a nipple shield to ensure you are using a shield that works best for you, specifically one that fits correctly to your nipple and your baby’s mouth. An IBCLC will also work with you to address the root cause to develop a plan for how to wean from the nipple shield, such as strengthening the muscles needed for feeding, stimulating baby's reflexes or trying new nursing positions.
While there are benefits to using a nipple shield, it’s important to make sure the benefits outweigh the risks.
Benefits:
A nipple shield may be useful for a mother who wishes to nurse while healing nipples that are in pain, to help a baby that cannot latch due to restricted oral tissues, or transitioning a baby back to breastfeeding from bottle feeding.
Risks:
Nipple shields can act as a barrier to stimulation and can negatively affect milk supply or prevent babies from effectively trigger letdowns. If not fitted correctly, shields can also cause nipple damage.
Once the root cause is addressed, weaning from a nipple shield is a gradual process. A nipple might have a different texture or shape than the shield, which stays consistent, and you will need a significant amount of patience as your baby adjusts to nursing without the shield. Remember: this is a new skill! And like all new skills, it will take time and practice to perfect.
As you transition away from the shield, your baby will progressively become more prepared to move toward the nipple. This process will look different for everyone as every baby learns at a different pace and the root cause will be different for each baby.
The best time to practice breastfeeding without a nipple shield is when your baby is awake and alert but not extremely hungry. Once a baby is hungry, they might not be in the right mindset to have the patience adapt to a new technique.
Latching your baby with the shield and allowing for a letdown, then removing the shield is a strategy that can be helpful, as well as letting your baby practice suckling on the nipple even when they are not hungry.
Nipple shields can be a great tool for a multitude of reasons. We are happy to help navigate through initiating then weaning!
Need more help with using a nipple shield? Book a visit with Wisco Lactation! We offer home & office visit in SE Wisconsin and NE Illinois. We also offer virtual visits worldwide.