Nipple Shields

Executive summary about Nipple Shields by Barbara Wilson Clay, BSEd, IBCLC

Made of thin, soft, silicone that doesn’t interfere with nipple stimulation, the Madela nipple shield is worn during breastfeeding. Holes at the tip allow milk to flow to the baby. A nipple shield may help protect breastfeeding when:


1. The baby is premature, ill. A nipple shield may make feeding easier for a small baby. Because suction inside the nipple shield holds the nipple in an extended position, the baby can pause without ‘losing’ the nipple. As the baby gains weight and matures, the shield becomes unnecessary.

2. The mother has flat nipples. The Madela nipple shield provides sensation deep in the mouth that stimulates the baby to keep sucking. As the milk begins to flow, the baby discovers that breastfeeding works!

3. The baby has had many bottles and now refuses the breast. Drip milk into the corner of the baby’s mouth to reward the baby for trying. Some babies need only a few sessions with a shield to return to full breastfeeding.

Correct latch is important. The baby’s jaws must close on the breast, not out on the shaft of the nipple shield.

Chose the right size shield for the size of the baby’s mouth. If a shield is too big, the baby cannot adequately draw up the mother’s nipple. The Newborn Small size shield is best for most small babies. Madela makes several types of nipple shields, the Newborn Small, Newborn Regular, and Contact™ Nipple Shields in two sizes.

Milk supply is controlled by how much milk the baby takes. Pumped milk can be used to supplement the baby. Nipple shields are devices that are used to help babies who are not yet breastfeeding normally. Babies should have weight checks frequently to ensure baby’s health and good growth.

The nipple shield is a tool to help solve a specific latch problems. As the baby’s breastfeeding ability improves, remove the shield at various times during each feeding.


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