Nipple shields are often necessary when a breastfeeding latch is weak or nonexistent with your baby. Premature babies are prone to needing a nipple shield since their mouths are smaller and their suck, swallow, breathe reflex isn't as strong as that of a full-term baby. If you've been unsuccessful with breastfeeding, try using the thin, silicone nipple over your own before you give up on the most efficient and nutritious way to feed your baby.
Applying the Shield
The nipple cover or shield is meant to conform to your natural nipple as much as possible to foster the proper latch. You won't need to hold the shield over your nipple, but the application process might be awkward until you've done it several times. First, moisten your nipple with water or a small amount of breast milk that you've expressed. Run the liquid around the outside of the shield, then center your nipple in the neck of the plastic. Press the outer rim all the way around your breast so the shield sticks firmly.
Getting a Latch
When you breastfeed without a nipple shield, your baby takes the entire nipple and areola into his mouth. With a shield, it's slightly different, since the silicone nipple makes the full latch necessary. Instead, ensure that your baby takes the entire nipple into his mouth, so that his lips rest at the base of the cone-like nipple. You may need to stroke the side of your baby's mouth to entice him to open wide enough for the entire nipple to start feeding.
Nipple Shield Precautions
You should be able to see the tip of the shield fill with milk when your baby pulls off of the breast. Because nipple shields are often used for premature babies who don't eat as much orally, it's important that you keep your milk supply high by pumping regularly, if necessary. When breastfeeding with a nipple shield, listen carefully for your baby's swallows to confirm that he's eating effectively.
Weaning Off Nipple Shields
As your baby becomes more proficient in using the nipple shield, it's time to switch to nursing with a bare breast. Nipple shields are meant to be a temporary solution until your baby's latch improves. One of the most effective ways to wean your baby from the shield is to start feeding with the shield in place, wait five minutes, then slip the shield off of the breast. It's likely your baby is so comfortable and eager to eat that the change in shape and texture won't faze him. Talk to a lactation consultant if your baby's latch doesn't approve or if he continues to refuse the bare breast.
