Nipple Shields: When and How to Use Them for Successful Breastfeeding

Nipple shields can be a valuable tool for breastfeeding mothers facing challenges. Breastfeeding is a rewarding journey, but it comes with its difficulties. If you are in Kenya and considering using a nipple shield, this guide will help you understand when and how to use it effectively.

What Is the Purpose of a Nipple Shield?

A nipple shield is a thin silicone covering placed over the nipple to assist with breastfeeding. It is designed to:

• Help babies latch when they have difficulty due to tongue-tie, prematurity, or weak sucking reflex.
• Provide relief for sore or cracked nipples.
• Assist mothers with flat or inverted nipples in breastfeeding successfully.

While nipple shields can be beneficial, they should only be used under the guidance of a lactation consultant.

Why Are Nipple Shields Discouraged?

Nipple shields can sometimes create more problems than solutions, which is why some healthcare professionals discourage their use. Here are some reasons why:

• Reduced Milk Transfer: Some babies struggle to extract enough milk through a nipple shield, leading to inadequate nutrition.
• Latch Issues: Using a nipple shield may not address underlying latch problems but rather mask them.
• Dependency: Babies may become accustomed to the shield and refuse to breastfeed without it.
• Milk Supply Reduction: Improper use can lead to a decreased milk supply since the baby’s sucking stimulus is reduced.

Why Do Midwives Not Recommend Nipple Shields?

Midwives often prefer to address breastfeeding challenges without introducing nipple shields. They advocate for:

• Proper latch techniques and positioning.
• Treating the underlying cause of nipple pain rather than using a shield as a quick fix.
• Skin-to-skin contact, which promotes natural breastfeeding reflexes.
• Encouraging frequent breastfeeding to stimulate milk production and prevent supply issues.

However, in cases where direct breastfeeding is nearly impossible, midwives may recommend nipple shields as a temporary solution.

Nipple Shield for Sore Nipples

Sore or cracked nipples are a common breastfeeding complaint. A nipple shield can provide a barrier between the nipple and the baby’s mouth, reducing friction and giving the nipple time to heal. However, it is essential to treat the root cause of the soreness, such as an improper latch or a yeast infection.

Nipple Shield for Breastfeeding

A nipple shield can be an essential tool for mothers struggling with latch issues or nipple pain. However, it should be used correctly to ensure that the baby receives enough milk and that breastfeeding remains comfortable for both mother and baby.

Nipple Shield Sizes

Nipple shields come in different sizes, and selecting the right one is crucial for effective use. Common sizes include:

• Small (16mm): Ideal for preemies and mothers with very small nipples.
• Medium (20mm-24mm): Suitable for most mothers.
• Large (28mm-30mm): For mothers with larger nipples.

A lactation consultant can help you determine the best size for your needs.

How to Use a Nipple Shield for Breastfeeding

Using a nipple shield properly is key to a successful breastfeeding experience. Follow these steps:

1. Sterilize the Shield: Before the first use, sterilize the nipple shield in boiling water or a sterilizer.
2. Apply a Small Amount of Breast Milk: Express some breast milk onto the shield to encourage your baby to latch.
3. Invert and Place on the Nipple: Turn the shield inside out and place it over the nipple, ensuring a snug fit.
4. Encourage Latching: Hold your baby in a comfortable breastfeeding position and guide them to latch onto the shield.
5. Monitor Milk Transfer: Ensure that the baby is swallowing and getting enough milk during the feed.
6. Gradually Wean Off: If possible, start weaning your baby off the nipple shield as breastfeeding improves.

Nipple Shield for Flat Nipples

Mothers with flat or inverted nipples may struggle with direct breastfeeding. A nipple shield can help the baby latch properly by providing a more extended nipple-like shape. It is a useful temporary aid until the baby learns to latch directly onto the breast.

Nipple Shield Piercing

If you have had a nipple piercing, a nipple shield may be helpful to prevent irritation or damage while breastfeeding. However, it is essential to keep both the shield and the breast clean to prevent infections.

How Much Is a Nipple Shield in Kenya?

The price of a nipple shield in Kenya varies depending on the brand and quality. Generally, nipple shields range from KES 400 to KES 2,000. You can find them in pharmacies, baby stores, and online shops such as Breastpump Kenya.

FAQs

1. Is a nipple shield good or bad for breastfeeding?

A nipple shield can be beneficial when used correctly, but prolonged use without addressing latch issues may cause milk supply problems.

2. How long should I use a nipple shield?

It should be used temporarily while addressing the underlying breastfeeding issue. Consult a lactation expert for guidance.

3. Can a baby drink enough milk through a nipple shield?

Yes, but it depends on the baby’s ability to suck effectively. Regular monitoring is essential to ensure proper milk intake.

4. Where can I buy a nipple shield in Kenya?

You can purchase nipple shields from baby stores, pharmacies, and online retailers like Breastpump Kenya.