Using a Nipple Shield

Nipple shields have a mixed reputation. Some say they cause more problems than they solve. Others say that used properly they can salvage a difficult breastfeeding situation. Your lactation consultant will recommend when they may be helpful, how long to use them, and how to discontinue using them.

Choosing Your Shield

• Ask your lactation consultant to fit you for the correct size
• Experiment with the two types, to see which works best for you:

How to use the shield

• Roll the shield back about½ way down the shank of the shield
• Apply to nipple, may apply lanolin, breastmilk, KY jelly or water to help the shield adhere to the breast
• Roll the shield back onto the breast so the nipple is pulled into the shank of the shield. May stretch shield to accommodate the nipple
• May warm in water to make more flexible
• Latch the infant on by tipping baby’s head back, touch the shield above the upper lip and allow baby to take it deeply
• Ensure the infant’s lips are at the base on the shield, not slipping back and forth
• May pre-fill the shield through the holes in the tip with a periodontal syringe so the baby gets an instant reward
• Wash the shield and air dry, may be boiled if desired
• Plan for lactation follow up to either wean from the shield or work on maintaining/establishing supply
• Have your baby’s weight checked often
• To wean from the shield, start the feeding with the shield in place, then remove. If not successful, try again the next feeding. Coax your baby, and be persistent