Posts Tagged ‘nipple shields’

Breastfeeding with inverted nipples

Thursday, March 11th, 2010

Believe it or not, breastfeeding with inverted nipples can be as simple as breastfeeding with protruding nipples! You do however need good support when learning how to position and attach your baby to the breast, right from the beginning.

If you are a mum with inverted nipples, you may already have been told that breastfeeding will be problematic. Mums are often told they have inverted nipples when actually their nipples are pseudo inverted – which means that they will pop out when a little suction is applied. So check your nipples before you become all worried and confused with all the conflicting advice.

SO if you do have true inverted nipples, what tools are available to help you breastfeed well?

Many mothers are told that the only way to breastfeed when they have inverted nipples, is to use nipple shields. Nipple shields are useful, if the nipple is totally inverted and baby has a weak suck and is not able to draw the nipple out. It is important to at least try to latch baby onto the breast without a nipple shield a few times a day, as babies do become stronger and will actively try to latch onto the breast providing they are albe to scoop up breast tissue as well as the nipple.

Often, using nipple shields too frequently in the early days, can alter the manner in which the baby milks the breast, which could lead to breastfeeding problems and sore nipples later on.

If you are trying to latch your baby onto the breast, make sure that your baby is positioned properly to start with, i.e. that he/she is positioned nose to nipple. This will ensure that your breast tissue ( the areola), will be able to fall into baby’s mouth and the nipple will inevitably follow.

Depending on the size of your breast, if you have a pronounced inverted nipple, you may find latching easier by having baby positioned in the underarm or rugby hold, lying more on his/her back and coming up onto the breast. Nature and gravity will naturally pull the nipple down further to the back of baby’s mouth and thus protecting the nipple from becoming sore and cracked.

Whilst there is a lot of attention paid to the size and shape of mum’s breast, it is also important to remember that there are two people involved in the act of breastfeeding. So be sure to ask a professional to have a look in your baby’s mouth, to assess how far back the nipple will be able to go into baby’s mouth, and/or whether you would be better off using a nipple shield temporarily or expressing and bottle feeding as a last resort!

It is important to remember that you have options and with the right practical guidance, breastfeeding should be a satisfying experience for you and your baby.

Feeding with inverted nipples

Friday, November 27th, 2009

Being told that you will have problems breastfeeding before your baby even arrives, is daunting and a little stressful, so let me show you how you can over come some common problems.

Remember that everyone is different and every baby is different. Not many people will look inside your baby’s mouth when helping you attach your baby, but this is a very important part of getting it right.

So if you have flat or inverted nipples, have a quick look inside your baby’s mouth so that you can see what space your breast needs to fit into. If your baby has a high and narrow arched palate, you will need to shape your breast into a teat, the same way baby’s mouth opens. This is usually done by placing your thumb and index finger at 3 and 9 o’clock and pinching the tissue together and then once your baby does a big wide mouth, you bring baby onto the breast as quickly as possible applying pressure to baby’s upper back and shoulder area.

Make sure that your areola is nice and soft, so that your baby is able to scoop up the breast tissue and help the nipple go right to the back of the mouth, out of harms way. To soften the areola, simply massage the milk that has collected just behind the nipple, back into the breast. By doing it this way, you will not increase milk production by expressing milk off before the feed.

Some mums find pumping for a few mintues quite helpful, as it pulls the nipple out and makes it easier for baby to latch, however, I would only suggest this if the breast is not over full and engorged, as we do not want to create further engorgement or problems.

If you need more practical advice, have a look at the sore nipples guide. The Positioning and Attachment Bonus is really useful in getting a good and pain free latch.

Much love,

Geraldine