Nipple Shield Breastfeeding: When And How To Use Them Safely

Many new moms discover that nipple shield breastfeeding can provide relief when nursing becomes painful or challenging. For clinical, OB/GYN-level guidance on breastfeeding challenges and nipple shield use, see ACOG’s breastfeeding guidance. These thin silicone covers fit over the nipple and areola to create a barrier that may help babies latch more easily while protecting sore or cracked nipples.

Nipple shields can be a helpful temporary tool for overcoming breastfeeding difficulties, but they work best when used with proper guidance and a plan for gradual weaning. This guide is educational, not medical advice—consult an OB/GYN, pediatrician, or IBCLC if symptoms persist or infection is suspected. For gentle, evidence-informed ways to ease nipple pain, see our guide: relieving breastfeeding pain naturally.

This article covers when nipple shields help most, how to use them safely, and practical steps for transitioning away from them when the time is right. Moms struggling with latch issues or nipple pain can also explore supportive products like silver nursing cups for comfort between feeding sessions.

Key Takeaways

• Nipple shields create a protective barrier that may help babies latch better while reducing nipple pain during breastfeeding
• They work best as temporary tools with professional support and should include a plan for gradual weaning
• Proper sizing, cleaning, and monitoring milk transfer are essential for safe and effective nipple shield use

Understanding Nipple Shields for Breastfeeding

For a fuller primer on what shields are and how they work, read: nursing nipple shields — a complete guide.

Nipple shields are thin, flexible covers made from medical-grade silicone that fit over the nipple during nursing. They create a barrier between the baby's mouth and the breast while still allowing milk flow through small holes at the tip.

What Is a Nipple Shield?

A nipple shield is a thin, flexible device that covers the nipple and areola during breastfeeding. Most modern shields are made from medical-grade silicone.

The shield has a nipple-like tip with small holes that allow breast milk to pass through. It also has a wider base that sits against the areola. For parent-tested explanations and practical tips, see Mother & Baby.

Key Features:

• Thin silicone material
• Nipple-shaped tip with holes
• Wide base for stability
• Various sizes available

Nipple shields come in different sizes to fit different breast shapes. The right fit is important for comfort and milk transfer.

Many lactation consultants recommend getting professionally fitted. This helps ensure the shield works properly and doesn't cause new problems.

Different Types of Nipple Shields

Silicone nipple shields are the most common type used today. They replaced older rubber and latex versions that were thicker and less effective. If you’re weighing shields versus covers, this overview helps clarify the use cases: nipple covers for breastfeeding.

Modern silicone shields are ultra-thin. This allows babies to feel more of the breast and get better milk flow.

Size Options:

• Small (16mm)
• Medium (20mm)
• Large (24mm)
• Extra Large (28mm)

The size refers to the diameter of the nipple portion. A proper fit means the nipple fills the tip without being compressed.

Some brands offer different shapes. These include round bases versus oval bases to fit different breast shapes.

Silver nipple shields and silver nipple covers are specialty options. These combine silicone with silver elements for added antimicrobial properties.

How Nipple Shields Work During Breastfeeding

The shield creates a firm surface for babies who have trouble latching. This can help babies with weak suction or tongue ties.

The Process:

1. Baby latches onto the shield tip
2. Suction draws the nipple into the shield
3. Milk flows through the holes
4. Baby receives milk while the nipple stays protected

The shield can improve milk flow for some babies. The firm tip may be easier to grasp than a flat or inverted nipple.

However, shields can sometimes reduce milk transfer. The barrier may decrease the amount of milk the baby gets compared to direct breastfeeding.

Mothers should monitor their baby's weight gain when using shields. Some babies need to work harder to get milk through the small holes.

Benefits:

• Protects sore or damaged nipples
• Helps with latch difficulties
• May extend nipples for easier feeding

Curious which options perform best for real moms? See our roundup: best nipple shields.

Considerations:

• May reduce milk supply over time
• Can create shield dependency
• Requires proper cleaning and storage

For long-term nipple protection between feeds, many mothers prefer silver nursing cups from Go Mommy. These provide healing benefits without interfering with the nursing relationship.

When and Why Nipple Shields Are Used

Nipple shields serve as helpful tools when mothers face specific breastfeeding challenges that make direct nursing difficult. These thin silicone covers address issues like painful latching, inverted nipples, and babies with weak suck patterns.

Common Challenges Addressed by Nipple Shields

Nipple pain is one of the most frequent reasons mothers turn to nipple shields. Cracked, sore, or damaged nipples can make breastfeeding extremely uncomfortable. Practical at-home comfort strategies are summarized on Parents.com.

The shield creates a barrier between the baby's mouth and the nipple. This allows healing time while maintaining breastfeeding goals.

Inverted nipples present another common challenge. When nipples don't protrude naturally, babies may struggle to achieve a proper latch.

Nipple shields help draw out flat or inverted nipples. The shield's shape makes it easier for babies to grasp and maintain suction during feeding.

Latch difficulties affect many new mothers and babies. Some babies have trouble opening their mouths wide enough or positioning correctly.

The shield provides a larger, firmer surface for the baby to latch onto. This can be especially helpful for premature babies or those with oral motor challenges.

Mothers dealing with engorgement may also benefit from shields. When breasts become overly full, the nipple can flatten against the areola, making it hard for babies to latch effectively.

Situations That May Benefit from Nipple Shield Use

Babies with a weak suck often struggle with direct breastfeeding. Premature infants frequently fall into this category due to underdeveloped sucking reflexes. If comfort between feeds matters, compare top choices here: best silver nipple cups.

The shield's firm texture gives these babies something more substantial to work with. It can help them maintain their latch longer and transfer milk more effectively.

Mothers returning to work sometimes use shields temporarily. Balanced guidance on pumping plans and return-to-work feeding is available at womenshealth.gov. After extended periods of bottle feeding, some babies develop a preference for the firmer feel of artificial nipples.

Nipple shields can help transition babies back to breastfeeding. Step-by-step latch and transition tips for new mums are collected at BabyCentre. The shield mimics some qualities of bottle nipples while maintaining the breastfeeding experience.

Some mothers with very fast milk flow find shields helpful. When milk comes too quickly, babies may choke, pull away, or refuse to nurse.

The shield can slow milk flow slightly and give babies better control during feeding. This makes nursing more comfortable for both mother and baby.

Silver nipple shields offer additional antimicrobial properties that may support healing between feeding sessions.

Possible Limitations and Considerations

Nipple shields can sometimes reduce milk transfer efficiency. The barrier between baby and breast may decrease the amount of milk the baby receives during feeding. For material-specific pros and cons, especially metal designs, review: pros & cons of metal nipple shields.

This makes monitoring weight gain especially important. Regular check-ins with healthcare providers help ensure babies are getting adequate nutrition.

Some babies become dependent on shields, making it challenging to transition back to direct nursing. The different feel and flow can create a preference for shield use. Growth monitoring and feeding assessment guidance can be found via the American Academy of Pediatrics.

Gradual weaning from the shield often works best. Many mothers successfully transition by removing the shield partway through feedings.

Milk supply concerns may arise with extended shield use. The reduced stimulation to the nipple can sometimes affect hormone signals that maintain milk production.

Frequent pumping sessions can help maintain supply when using shields long-term. Working with a lactation consultant provides personalized guidance for each situation.

Proper fit is crucial for shield effectiveness. Shields that are too large or small can cause additional problems rather than solving existing ones.

Many mothers benefit from professional fitting at breastfeeding support centers to ensure optimal results and avoid complications.

Best Practices for Safe and Effective Nipple Shield Use

Proper selection, application, and monitoring are essential for successful nipple shield use. Working with lactation professionals and tracking milk transfer helps ensure both safety and effectiveness.

Selecting the Right Type and Size

The right size nipple shield makes all the difference for comfort and milk flow. Most shields come in three sizes: 16mm, 20mm, and 24mm.

Measure the nipple base while breastfeeding to find the correct size. Sizing, pain troubleshooting, and medicine safety are covered by the Breastfeeding Network. The shield should cover the nipple completely without being too tight or loose.

Shield Material Options:

• Silicone shields (most common)
• Silver nipple shields for antimicrobial properties
• Latex shields (less recommended due to allergies)

An IBCLC or lactation consultant can help with proper fitting. They will watch how the shield sits during feeding and check for gaps or compression.

The shield should feel comfortable during use. Pain or pinching means the size is wrong.

Consider trying silver nursing cups between feedings for added comfort and protection. These complement shield use by providing soothing contact when not actively nursing.

How to Use a Nipple Shield Safely

Clean hands thoroughly before handling the shield. Wash the shield with warm soapy water before each use.

Application Steps:

1. Turn the shield inside out halfway
2. Center it over the nipple
3. Roll the edges down gently
4. Ensure the nipple sits in the tip completely

The baby's nose should touch the shield's base during feeding. Illustrated positioning and application steps are available on Breastfeeding.support. This position helps with proper latch and milk transfer.

Remove the shield slowly after feeding. Clean it immediately with warm water and mild soap.

A midwife or lactation consultant should observe the first few uses. They can spot problems early and adjust technique as needed.

Never force the shield on or off. Gentle pressure works better and prevents injury.

Ensuring Effective Milk Transfer

Milk transfer is the most important part of using a nipple shield. Poor transfer can lead to supply problems and slow weight gain.

Watch for signs of good milk transfer during feeds. These include audible swallowing, visible milk in the shield tip, and breast softening.

Signs of Poor Milk Transfer:

• No swallowing sounds
• Breast stays full after feeding
• Baby seems frustrated or falls asleep quickly
• Little to no milk visible in shield

The baby should nurse for 15-20 minutes per side when using a shield. Shorter feeds may mean poor transfer.

Breast compression can help increase milk flow through the shield. Gently squeeze the breast while the baby sucks.

Some mothers pump briefly before feeding to start milk flow. This technique helps fill the shield tip and encourages the baby to continue nursing.

Consider products from Go Mommy's collection to support your overall breastfeeding journey alongside shield use.

Monitoring Milk Supply and Infant Growth

Regular weight checks are essential when using a nipple shield. Babies should gain weight steadily even with shield use.

Weekly Monitoring:

• Baby's weight gain
• Diaper output (6+ wet diapers daily)
• Feeding frequency and duration
• Mother's milk supply signs

A lactation consultant should check progress weekly for the first month. They can spot supply issues before they become serious problems.

Pump after feeds if milk transfer seems poor. This extra stimulation helps maintain supply while working on shield weaning.

Track feeding times and diaper counts in a simple log. Printable trackers and mom-tested routines are available via WIC Breastfeeding. This information helps healthcare providers assess how well feeding is going.

Contact an IBCLC if weight gain slows or stops. Quick intervention can prevent feeding problems from getting worse.

Visit Go Mommy for additional breastfeeding support tools that work alongside proper shield use.

Guidance, Support, and Weaning from Nipple Shields

Getting professional help from trained experts and learning how to slowly stop using nipple shields can make the breastfeeding journey much easier. Setting clear goals also helps parents know when they've reached success.

When to Consult a Lactation Consultant or Midwife

Many parents benefit from seeing a lactation consultant or midwife when using nipple shields. These trained professionals can check if the shield fits properly and help solve feeding problems.

Signs it's time to get help:

• Baby seems hungry after feeds
• Milk supply appears low
• Nipple pain continues even with the shield
• Baby loses weight or gains very slowly
• Shields keep falling off during feeds

An IBCLC (International Board Certified Lactation Consultant) can watch the baby latch and suggest different positions. They also measure the baby's mouth to find the right shield size.

Midwives often help new parents learn to use shields correctly. They can show proper placement and cleaning methods during hospital visits or home checkups.

Some parents need ongoing support for several weeks. This is normal and helps build confidence with breastfeeding.

Tips for Weaning Off a Nipple Shield

Stopping nipple shield use takes patience and practice. Most parents succeed by going slowly and trying different methods.

Start with these steps:

• Try feeding without the shield when baby is calm but hungry
• Remove the shield halfway through feeds
• Practice skin-to-skin contact before nursing
• Use the shield on one breast and not the other

Many babies latch better after eating for a few minutes with the shield. Parents can then gently remove it and continue feeding.

Timing matters for success:

• Morning feeds often work best for shield-free attempts
• Avoid trying when baby is very upset or overtired
• Pick times when both parent and baby feel relaxed

Step-by-step comfort tactics during weaning are summarized here: how to use silver nursing cups.

Some babies need silver nursing cups between feeds to protect healing nipples during the weaning process. These cups provide gentle protection while nipples adjust to direct feeding.

The process usually takes 1-3 weeks. Find national hotlines, local support, and parent resources from the U.S. Breastfeeding Committee. Some days go better than others, and that's completely normal.

Setting and Achieving Personal Breastfeeding Goals

Each family's breastfeeding goals look different. Some want to nurse for a few months, while others plan to continue for years.

Common breastfeeding goals include:

• Nursing without pain or discomfort
• Feeding baby breast milk for 6 months
• Building a good milk supply
• Feeling confident during feeds
• Gradually reducing shield dependence

Writing down specific goals helps parents track their progress. A goal like "nurse without shields three times per day by next week" works better than "stop using shields soon."

Many parents find it helpful to celebrate small wins. Successfully nursing without a shield for one feed counts as real progress.

Working with healthcare providers helps parents set realistic timelines. They can adjust goals based on how baby grows and develops.

Support from Go Mommy products and resources can make reaching these goals easier. Their complete product collection includes tools for every stage of the breastfeeding journey.

Some parents discover their goals change over time. This flexibility helps reduce stress and keeps the focus on what works best for each family.

Frequently Asked Questions

Many breastfeeding mothers have specific questions about nipple shield sizing, proper usage techniques, and the balance of benefits versus potential drawbacks. Understanding the different types available and knowing when to transition away from using them helps ensure successful breastfeeding outcomes.

What are the guidelines for choosing the right size of a nipple shield?

Choosing the correct nipple shield size is crucial for effective breastfeeding. The shield should fit snugly around the nipple without being too tight or loose.

Most nipple shields come in three standard sizes: 16mm, 20mm, and 24mm. These measurements refer to the diameter of the nipple tunnel inside the shield.

To measure nipple size, mothers can use a ruler to measure the diameter of their nipple at its base. This measurement should be taken when the nipple is not compressed or flattened.

A properly fitted shield allows the nipple to move freely without rubbing against the sides. The nipple should not fill the entire tunnel space, as this can cause discomfort and reduce milk flow.

Healthcare providers or lactation consultants can help determine the correct size through professional assessment. Many hospitals and breastfeeding support centers offer fitting services to ensure proper sizing.

Some mothers may need different sizes for each breast, as nipple sizes can vary. It's important to have both breasts assessed individually for the best fit.

Can you provide step-by-step instructions on how to properly use a nipple shield during breastfeeding?

Proper nipple shield application ensures effective milk transfer and comfort for both mother and baby. Following the correct steps helps maximize breastfeeding success.

First, wash hands thoroughly with soap and water before handling the shield. Clean the nipple shield according to manufacturer instructions before each use.

Turn the shield inside out halfway, similar to putting on a contact lens. This creates a better seal and makes application easier.

Center the shield over the nipple, ensuring the nipple sits in the middle of the tunnel. Press the edges down gently to create a seal against the breast.

Some mothers find it helpful to dampen the shield edges with water or breast milk for better adhesion. This can improve the seal and make the shield more comfortable.

Position the baby for feeding as normal, ensuring a deep latch that covers most of the shield base. The baby's mouth should encompass the shield similarly to latching directly onto the breast.

Monitor milk transfer by watching for swallowing patterns and checking that the baby seems satisfied after feeds. Weight gain tracking helps ensure adequate nutrition.

Remove the shield by gently lifting one edge and peeling it away slowly. Clean the shield thoroughly after each use and store it in a clean, dry place.

What are the potential benefits and drawbacks of using a nipple shield for both mother and baby?

Nipple shields offer several benefits for mothers experiencing breastfeeding challenges. They can provide relief from sore, cracked, or damaged nipples while allowing continued breastfeeding.

The shield creates a barrier that protects healing nipples from further trauma. This protection allows mothers to continue breastfeeding while their nipples recover naturally.

For babies with latch difficulties, the shield's firm structure can make it easier to grasp and maintain suction. Premature babies often benefit from the added texture and shape.

Mothers with flat or inverted nipples may find that shields help extend the nipple, making latching more successful. The shield can provide the shape needed for effective feeding.

However, nipple shields also present some potential drawbacks that mothers should consider. Reduced milk transfer is a common concern, as the barrier may decrease stimulation and milk flow.

Some babies become dependent on the shield, making it difficult to transition to direct breastfeeding later. This dependency can create long-term challenges for nursing mothers.

Cleaning and sterilizing requirements add extra steps to feeding routines. Mothers must remember to bring shields when leaving home, which can be inconvenient.

The shield may reduce skin-to-skin contact between mother and baby during feeding. This contact is important for bonding and hormone regulation.

Some mothers experience decreased milk supply over time when using shields regularly. The reduced stimulation may signal the body to produce less milk.

Could you offer a review of the different types of nipple shields available on the market?

Several types of nipple shields are available, each designed for specific needs and preferences. Understanding the differences helps mothers choose the most suitable option.

Silicone nipple shields are the most common type available today. They offer flexibility, durability, and easy cleaning while maintaining their shape through multiple uses.

Traditional rubber shields are less common but still available from some manufacturers. These tend to be thicker and less flexible than modern silicone alternatives.

Ultra-thin silicone shields provide a more natural feeling during breastfeeding. The reduced thickness allows for better sensation and milk transfer while still offering protection.

Silver nipple shields combine the benefits of silicone with antimicrobial properties. These shields may help prevent bacterial growth while providing standard protection features.

Some shields feature cut-out sections that allow for increased skin contact during feeding. These designs aim to maintain the bonding benefits of direct breastfeeding while offering nipple protection.

Contoured shields are shaped to fit the natural breast curve more closely. This design can improve comfort and create a better seal around the nipple area.

Contact shields are the thinnest available and provide minimal barrier between mother and baby. They work best for mothers who need only slight nipple extension or protection.

When comparing brands, Go Mommy stands out for their focus on comfort and quality materials. Their products undergo rigorous testing to ensure safety and effectiveness for nursing mothers.

Go Mommy shields offer superior flexibility compared to many competitors, allowing for more natural feeding experiences. The company also provides comprehensive sizing guides and customer support.

Other brands may offer lower prices but often compromise on material quality or comfort features. Go Mommy prioritizes long-term comfort over short-term cost savings for nursing mothers.

How can a nipple shield be helpful for mothers experiencing nipple pain or soreness?

Nipple shields provide immediate relief for mothers dealing with breastfeeding-related pain and discomfort. The barrier protection allows continued nursing while nipples heal naturally.

Cracked or bleeding nipples can make breastfeeding extremely painful, leading some mothers to consider stopping. Shields allow feeding to continue without direct contact that worsens the damage.

The shield creates a protective layer that prevents baby's tongue and gums from irritating damaged tissue. This protection is essential during the healing process for injured nipples.

Many mothers experience relief within the first few uses of a properly fitted shield. The immediate comfort improvement can help maintain breastfeeding motivation during difficult periods.

For mothers with oversupply issues, shields can help regulate milk flow