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Journal of Human Lactation
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Women’s Experiences Using a Nipple Shield

Diane Powers, BA IBCLC

Deaconess Billings Clinic Family Birth Center

Vicki Bodley Tapia, BS IBCLC

An informal, retrospective telephone survey of 202 breastfeeding women was conducted over an 8-month period of time, assessing patients’ perceptions regarding use of a silicone nipple shield. Women used the shield most frequently because of flat nipples (62%). Other reasons for shield use included the infant’s disorganized suck (43%), sore nipples (23%), engorgement (15%), prematurity (12%), short frenulum (1%), and other reasons (1%). Fortysix percent of the women gave more than 1 reason for using a shield. Sixty-seven percent of the women continued to breastfeed after transitioning off the nipple shield. Median duration of nipple shield use for this group of women was 2 weeks. Thirty-three percent of the women who used the nipple shield with every breastfeeding breastfed from 1 day to 15 months. Five percent of women used the shield on only one side from 1 day to 9 months. J Hum Lact. 20(3):327-334.

Key Words: breastfeeding • nipple shield • breast shells • flat nipples • disorganized suck • sore nipples • engorgement • prematurity • short frenulum

Journal of Human Lactation, Vol. 20, No. 3, 327-334 (2004)
DOI: 10.1177/0890334404267214
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