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Nipple Shields for Breastfeeding Problems

Topic Overview

What are nipple shields?

Nipple shields are devices to help with certain breastfeeding problems. A nipple shield looks like a little hat with a brim. The crown of the hat fits over the nipple, and the brim lies over the areola. Most nipple shields are made of a soft, thin, flexible silicone.

Why might nipple shields be used?

Nipple shields may be helpful for babies who have trouble sucking, such as:

  • Premature infants, who may not be strong enough to breastfeed well.
  • Full-term babies with latch-on problems.

Premature babies may not have strong suction and may not be able to latch on as well as full-term babies. Suction is important because it helps the baby get enough of the nipple in his or her mouth. Nipple shields can help premature babies get a better latch and get enough milk.

Nipple shields are meant for short-term use. For example, they might be used for a full-term baby having trouble latching on. After a few weeks, the baby will probably be able to nurse without a shield.

Also, nipple shields may sometimes be used when a mother has flat or inverted nipples.

If you are having a hard time breastfeeding, ask a doctor, nurse, lactation consultant, or other expert to help. You can try nipple shields if other methods or changes don't work.

What should you do if you think you need to use nipple shields?

Nipple shields look simple, but there are some tricks to using them correctly. So be sure you get guidance from a lactation consultant or other breastfeeding expert. Your hospital, doctor, or midwife can help you find an expert in your area.

A lactation consultant can:

  • Fit you with a shield that's the right size and shape.
  • Help you make sure that your baby is latching on and feeding properly.
  • Advise you on how long to use nipple shields.
  • Offer tips on how to wean your baby from the shields when the time comes.

How will you know if you are using a nipple shield correctly?

It's important to use a nipple shield correctly. If it isn't used the right way, your nipples could be damaged or your baby may not get enough milk.

These signs mean you are using the shield correctly:

    • You can see milk in the shield.
    • You hear your baby sucking and swallowing.
    • Your baby is content after feeding.
    • Your baby is gaining weight as expected.
    • Your baby has the expected number of wet and dirty diapers.


Other Works Consulted

  • Academy of Breastfeeding Medicine (Revision 2010). ABM Protocol #7: Model Breastfeeding Policy. Breastfeeding Medicine, 5(4): 173–175.


Adaptation Date: 5/23/2023

Adapted By: HealthLink BC

Adaptation Reviewed By: HealthLink BC