Breastfeeding devices known as nipple covers are shields in the form of a nipple which are worn over the areola and nipple before the mother begins nursing her child. Nipple covers are often suggested to new moms who have babies with flat nipples or in situations in which the newborn is unable to successfully latch onto the mother’s breast.
In addition to this, they are used in the treatment of painful nipples, preterm, oversupply, and other conditions, as well as in the process of transferring babies from the bottle to the breast. In addition, nipple covers can compensate for immature feeding patterns, such as brief, inefficient sucking bursts and falling asleep quickly after being positioned at the breast in preterm newborns. Nipple covers may be purchased at most baby supply stores.
It is important that the nipple covers be properly fitted to the mother’s breasts, and that the newborn is positioned such that they are latched onto the full areola rather than just the tip of the shield for it to be used efficiently. It is necessary to arrange the shield so that it is directly over the middle of the nipple. The nipple should then be guided into the shield tunnel using a series of clockwise rotations, which should also expand the shield’s base around the areola. More nipple tissue is drawn into the shield with each successive stretch of the shield. Using a few drops of water, the furthest margins of the shield’s perimeter may be fastened in place over the areola.
If the baby is correctly latched onto the shield, there should be visible movements in the region of the breast that is distal to the shield with each suckle that the baby takes. In contrast, when a newborn is merely on the tip of the nipple covers, there is very little breast movement evident while sucking, and often none at all.
During nursing, a mother may choose to wear nipple covers, which is a cushioned protective covers that may be worn over the areola as well as the nipple. Nipple covers have the appearance of a little Mexican hat, complete with a high crown and a broad brim, and it is worn such that it rests against the breast. Nipple covers are baby bottles that are made of thin and flexible silicone and feature several holes in the tip. These holes allow a baby to absorb breast milk.
Preterm newborns have unique problems when it comes to feeding because of their early arrival into the world. Some premature babies may have trouble latching on at first. Kangaroo care, also known as skin-to-skin contact, may be very beneficial for these small infants because it helps to stabilise their bodily systems and stimulates their natural feeding behaviour, allowing them to focus on learning how to suckle. It is feasible to use well-fitting nipple covers as a tool to give a hard sucking trigger, which will assist a premie in maintaining their latch and sucking ability. On the other hand, not all preterm infants will need one; in other cases, all you may need is some excellent, experienced assistance to get breastfeeding off to a good start.
Because the shield moulds the baby’s lips into the form of a nipple, it allows the child to take in milk via expression with just a small amount of suction, which results in an improvement in milk ejection and transfer. Even when there is a lull between the infant’s sucking bursts, the construction of the artificial nipple remains strong. This ensures that the baby will remain connected to the nipple and will not fall off.
Additionally, after the shield is appropriately positioned over the nipple, and the newborn starts to suckle, it seems that negative pressure is created in the chamber that is located between the tip of the maternal nipple and the inside of the shield. These pressures may help to compensate for the infant’s poor suction and make it possible for milk to collect in the shield during pauses in sucking. This milk will then be quickly accessible to the baby when sucking resumes.
As a direct consequence of this, the use of a shield results in an increase not just in the length of sucking bursts but also in the amount of milk eaten during nursing by preterm infants. Because it looks, smells, and tastes more like a bottle teat, nipple covers can help transition your baby back to the breast if they have become accustomed to bottle teats and are having trouble understanding how to latch on to a breast, or if they are refusing to latch at all (this is sometimes referred to as a nursing strike). If your baby has become accustomed to bottle teats and is having trouble understanding how to latch on to a breast,
Nipple covers may be helpful as a form of a training exercise for a baby who isn’t utilising his tongue correctly; for example, if your infant is retracting his tongue, nipple covers can be used to prevent the tongue from being retracted.
To screen for and identify women who are at risk of having problems lactating, healthcare providers should evaluate the flexibility of mothers’ nips both throughout pregnancy and in the postpartum period. This assessment should take place. Clinical personnel and parents need to be informed about the advantages and hazards of nipple covers, infant recovery, early breastfeeding, and elimination patterns vs true breastfeeding issues to avoid the possible improper use of nipple covers. The parents need to have early follow-up and resource phone numbers for breastfeeding help after they are discharged from the hospital; this is especially true when in-hospital care is limited.
Similarly, to promote and encourage breastfeeding for longer periods, the field of public health should develop enhanced post-discharge support services and/or programmes that improve attitudes about breastfeeding among socio-cultural and economic categories. The mother should be allowed to participate in the decision-making process, and she should be given the freedom to choose the option that will be most advantageous for both her and her child.
The objective of lactation management is to provide tailored care and solutions that will result in an ongoing nursing relationship. There are several solutions to each issue that might lead to effective breastfeeding.