When moms first start reading up about breastfeeding, there seems to be a lot of bad press surrounding the introduction of bottles and nipple shields, as this could lead to sore nipples as well as nipple/teat confusion. However, for some moms, the introduction of nipple shields could be what saves breastfeeding in the long term, so if you have inverted nipples, keep an open mind.

It is really important that your baby has an opportunity to learn to breastfeed well before the introduction of nipple shields, as many moms with inverted nipples find they are able to breastfeed well, with the correct attachment technique as well as a comfortable position that optimises baby’s ability to scoop up as much breast tissue as possible.

If you do choose to use nipple shields during breastfeeds and you are able to feed well with little breast or nipple pain, make sure to keep an eye on your baby’s poos. Breastfeeding moms are usually able to tell whether baby is latched and feeding well by assessing how breastfeeding feels, but as you will have a breastfeeding tool which may prevent sore nipples, you will need to use additional tools to assess how well your baby is emptying the breast.

The colour and frequency of poos will help you gauge how much food your baby is getting through the nipple shield at each feed. You should be seeing between 6-8 yellow poos a day until your baby is roughly 3-4 weeks old. As your baby gets bigger, you may find that dirty nappies are a less frequent event. This is normal, provided your baby is gaining weight and has plenty clear, heavy wet nappies throughout the day.

Many moms are told that the use of nipple shields should only be considered a temporary measure as it can lead to your milk drying up, however I have not found this to be true in my practice!

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