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Thread: Nipple Shields and Engorgement

  1. #1
    Join Date
    Dec 2008
    Location
    CO
    Posts
    186

    Default Nipple Shields and Engorgement

    Hi Everyone,
    I haven't been on in a while but I just had a baby girl on Tues. I started using a nipple shield because I was getting so sore and starting to crack. I worked with the lactation specialist at the hospital for several hours Wed and Thurs getting her to eat and latch right. Anyway my milk came in and I'm trying to nurse her as much as possible but I still feel pretty full afterward. The lactation specialist said that I may need to pump because babies aren't as effective at getting the milk out when using a shield. But I also know you really shouldn't pump when your milk comes in or else you can go into oversupply. So now I'm not sure what to do. She has had 4 dirty diapers in the last 12 hours and one wet, which I believe is on track for a 3 day old. I nursed my other 3 kids but never used the shield so just looking for advice from those who have BTDT!
    Thanks

  2. #2
    Join Date
    Jun 2011
    Posts
    219

    Default Re: Nipple Shields and Engorgement

    Congratulations on your new little girl!

    I haven't been in your exact situation, but I have used nipple shields with both my children. Their stories are so complicated, I won't go into details, but I will say that a nipple shield can be a useful tool, but I wouldn't want to go that route unless I had no other choice. Especially if you're feeling like she's having trouble transferring the milk when you're using the shield, you really might want to consider whether you can do without it.

    Soreness is AWFUL, but if you can get your LO to latch on better, that might really help the problem, more so than introducing the nipple shield as a temporary expedient. And I definitely wouldn't want to start pumping on top of that (pumping always made me extremely sore, but that may have to do with my unusual breast anatomy, so it might not be a concern for you).

    I'm sending a couple of links from my breastfeeding "guru."

    The first is about nipple shields; the second about sore nipples. You're ahead of the game, of course, since you've successfully nursed others, but I thought it might still be useful.

    http://www.nbci.ca/index.php?option=...tion&Itemid=17

    http://www.nbci.ca/index.php?option=...tion&Itemid=17

    His main site is www.drjacknewman.com and it has loads of information. (One warning: he's forceful, and he spends time arguing against things a lot, and it can be discouraging if you've made those "mistakes." If you can get by that, it's really helpful, and I think his book was a major help in my getting my second successfully to breastfeed.)

    I hope some of this will help. Enjoy that LO!
    I breast milk fed my Blossom for fifteen months (after exclusively pumping for thirteen). My Bud (nineteen months) is still nursing directly (after a rough start that included a few months of pumping and supplementing with mommy's milk).

    TwoDewdrops: Nursing Dresses and Tops for Discreet Breastfeeding (and Pumping)

  3. #3
    Join Date
    Dec 2008
    Location
    CO
    Posts
    186

    Default Re: Nipple Shields and Engorgement

    Thanks for the response. I was hesitant to do the nipple shields but then I remembered the grand canyon fissures I got with my last because I didn't get help soon enough and decided I didn't want to go through that pain again. I think her latch is good now, honestly it's been easier to work on with the shield because I wasn't tensing as much for the pain! My goal was to get her off the shield as my milk came in so that' what I'm working on now. I have been able to take the shield off half way and still get her on so I'm going to keep trying that for now and maybe in a day try to get her started without the shield. Just by taking the shield off half way has helped a lot with my engorgement though.
    Thanks again for the input and links!

  4. #4
    Join Date
    Jun 2011
    Posts
    219

    Default Re: Nipple Shields and Engorgement

    You're quite welcome.

    It sounds like you're doing a great job. I hope you heal well and can prevent further pain and can get LO nursing full feeds. Wow. Being a mommy is a big job!
    I breast milk fed my Blossom for fifteen months (after exclusively pumping for thirteen). My Bud (nineteen months) is still nursing directly (after a rough start that included a few months of pumping and supplementing with mommy's milk).

    TwoDewdrops: Nursing Dresses and Tops for Discreet Breastfeeding (and Pumping)

  5. #5

    Default Re: Nipple Shields and Engorgement

    I would also try and remember that its possible your supply may be too much. A baby that young eats very little because of a tiny belly. My Robert just nursed non stop in the hospital and when my milk came in I was faced with an extreme over supply to go along with a terrible latch.

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