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Breastfeeding your baby using a nipple shield

​​​​​​​What is a nipple shield?

A nipple shield helps with certain breastfeeding problems. It looks like a little hat with a brim. The top of the hat fits over the nipple, and the brim lies over the areola

Most nipple shields are made of soft, thin plastic or silicone that can bend and stretch. Nipple shields come in different sizes. The size you need depends on the size of your nipple and your baby’s mouth. 

A nipple shield should be fitted by a healthcare provider (such as a lactation consultant) who knows how to fit nipple shields.

Why might I use a nipple shield?

A nipple shield can help with some breastfeeding problems, such as your baby has trouble latching or staying latched onto your breast. 

A healthcare provider can help you decide if a nipple shield is right for you and your baby.

How long would I use a nipple shield?

How long you use a nipple shield depends on why you are using it. You may use it for a short time or for a longer time, such as with a premature baby. As long as your baby is gaining weight using the nipple shield, it’s OK to keep using it. 

Talk to your healthcare provider to decide what’s right for you.

What should I try before using a nipple shield?

There are a few things to try before using a nipple shield for breastfeeding problems: 

  • Tug or roll your nipple or use a breast pump for a few minutes to help extend your nipple right before latching your baby. 
  • Shape your breast like a sandwich so your baby can latch on and stay on more breast tissue.

If you've tried other ways to fix brea​stfeeding problems and they didn't work, a nipple shield might be a good option for you. Ask to see a lactation consultant for help.

How can a lactation consultant help me?

Nipple shields look simple, but there are important things to know when using them. A lactation consultant will help you use it correctly. A lactation consultant can:

  • Fit you with a nipple shield that's the right size.
  • Help you make sure that your baby is latching deeply and drinking well from your breast.
  • Advise you on how long to use a nipple shield.
  • Offer tips on how to wean your baby from the shield.

How do I know if I’m using a nipple shield correctly?

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

These signs mean you’re using the shield correctly:

  • Your baby is attached deeply onto the breast.
  • It doesn't hurt or pinch when your baby sucks.
  • The shield isn't puckered or dented when your baby is latched.
  • You hear and see your baby swallowing.
  • Your baby is sucking and swallowing in a regular pattern.
  • You may feel your milk let down.
  • You see milk in the shield when your baby comes off the breast.
  • Your baby has the expected number of wet and dirty diapers.
  • Your baby doesn’t seem hungry after breastfeeding.
  • Your baby is gaining weight.

When should a nipple shield not be used?

A nipple shield can help with some breastfeeding problems, but it does not help with every problem and needs to be used carefully.

For example, you might consider a nipple shield if you have damaged nipples. But it's best to speak to a lactation consultant first so they can help you and your baby get a good latch. You may need to take a short break from breastfeeding and then use a breast pump so your nipples have time to heal.

Why is it important to get help when using a nipple shield?

Breastfeeding experts recommend using a nipple shield only with the help of a healthcare provider who knows how to use them, such as a lactation consultant. 

You and your baby should see the healthcare provider regularly for as long as you’re using the nipple shield. This is important because using a nipple shield incorrectly may lower your milk supply.

​Breastfeeding correctly causes your body to make hormones that keep up your milk supply. A nipple shield should be put on properly so that your baby can latch deeply and drink well from your breast. 

​If the latch is not correct, not enough milk will be removed from your breast. Your baby may not get enough milk, and your body will not get the signal to make enough milk.

While using a nipple shield, have your baby weighed regularly to make sure they’re gaining a healthy amount of weight.

Do I need to wean my baby off the nipple shield?

Some babies may use a nipple shield for the whole time they’re breastfeeding. Other babies wean off the nipple shield to bare breastfeeding. Speak to your healthcare provider for ways to wean your baby off a nipple shield.

How do I clean a nipple shield?

To clean and care for a nipple shield, follow the manufacturer’s instructions.

Current as of: November 7, 2022

Author: Women's and Children's Health, Alberta Health Services