The shape and size of each woman's nipples and breasts can differ. During pregnancy and breastfeeding, the nipples can change shape and texture, becoming more elastic and prominent. The elasticity of the nipple enables the baby to suckle more easily.
However, not all nipples experience these changes. Some nipples are flat and do not protrude significantly. Breastfeeding with flat nipples presents its own set of challenges. But there is no need to worry, because there are several techniques that can help you overcome this problem.
Tips for breastfeeding with flat nipples
Flat or non-protruding nipples are not a serious condition, but they can make breastfeeding difficult. Some people are born with flat nipples, while others develop flat nipples due to trauma or injury to the nipple, congenital abnormalities in the breast structure, wearing too tight or inappropriate bras, or weight changes that affect the breasts and nipples.
Breastfeeding with flat nipples is not impossible. Here are some techniques to try:
Using breast shells
Breast shells are a useful product for breastfeeding mothers who have flat or inverted nipples, milk leaks, or painful nipples. They are silicone or plastic devices that cover the areola, allowing the nipple to fit into the hole.
They apply gentle pressure to the base of the nipple to encourage protrusion and stimulation, making it easier for the baby to suckle. The dome attached underneath protects the nipple and collects milk, keeping the garment dry and preventing potential leaks.
Pumping breast milk
Pumping the breasts with a pump helps retract and lengthen the nipples. This process prepares flat nipples to make it easier for the baby to suckle.
However, pumping too hard can result in pain and discomfort. Consult with your doctor or lactation consultant about how to safely feed the pumped breast milk from the breast to the baby.
Squeezing by hand
Squeezing the milk by hand before breastfeeding can help soften swollen breasts and allow the baby to suction more easily. This technique also promotes more nipple discharge, particularly if the flat nipple problem is not severe.
Breastfeeding on your side
Lying down while breastfeeding offers similar benefits, such as when the breasts are engorged or the nipples are flat. This position allows gravity to reduce pressure, allowing fluid to flow more easily to the nipple and areola areas. Furthermore, the lying position allows the baby to easily latch on and breastfeed.
Providing nipple stimulation
You can stimulate your nipples by compressing them with ice cubes or a cold towel. This accentuates flat nipples because the cold temperature causes nipple erections.
Not all mothers are comfortable using this technique because the cold sensation on sensitive areas like the nipples can be uncomfortable. If you are uncomfortable with this technique, you can try another method.
When having difficulty breastfeeding, it is critical to seek help from family, doctors, and lactation counselors. They can offer additional suggestions for breastfeeding issues as well as provide the emotional support you need.
Do you have other problems related to breastfeeding? You can make use of the consultation features that are available in the Ai Care application by downloading the Ai Care application from the App Store or Play Store.
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- Sean Edbert Lim, MBBS
Donna Murray, RN, BSN (2022). 7 Tips for Getting Your Baby to Latch on With Flat Nipples. Available from: https://www.verywellfamily.com/breastfeeding-with-flat-nipples-431881
Mary Marine (2022). Inverted or Flat Nipples. Available from: https://llli.org/breastfeeding-info/inverted-flat-nipples/
Cleveland Clinic (2023). Flat and Inverted Nipples. Available from: https://my.clevelandclinic.org/health/diseases/25118-flat-and-inverted-nipples
Donna Murray, RN, BSN (2020). How Breast Shells Help Breastfeeding Mothers. Available from: https://www.verywellfamily.com/breast-shells-information-uses-and-tips-431559
Cleveland Clinic (2023). Tips for Breastfeeding if You Have Flat Nipples. Available from: https://health.clevelandclinic.org/breastfeeding-with-flat-nipples