nipple shieldIn most situations nipple shields are not necessary.  

A good feeding assessment and assistance with positioning and latching by a breastfeeding expert is always recommended first. 

  • A nipple shield is a small, very thin, soft silicone cover that fits over the nipple and areola (the darkened part of the breast around the nipple), and is used during breastfeeding
  • Nipple shields come in different sizes therefore should be fitted by an expert
  • Seek help from a breastfeeding expert  if you feel you need a nipple shield


A breastfeeding expert may suggest a nipple shield:

  • once a moms milk supply is well established
  • for a baby who refuses to latch onto the breast, even with positioning and latch support
  • if a baby is used to drinking from a bottle and is having difficulty at the breast
  • if a mom has flat or inverted nipples and all attempts to latch baby have failed
  • if baby is born early and is having difficulty latching
  • if baby has weak jaw muscles and has difficulty maintaining a latch
  • if baby has limited tongue movement and is unable to latch onto the breast
  • if moms nipples are sore or damaged and all attempts at changing positions and latching with help from a breastfeeding expert have failed

How do I use a nipple shield?

  • Try to latch baby to breast without the shield at each feeding if possible
  • Wet shield around the edges with clean water or nipple ointment, this helps it to stick to the breast
  • Invert the shield so the bottom of the shield nipple can get close to the bottom of moms nipple
  • Place shield over nipple so shield is centered over the nipple
  • Allow the shield to relax over the nipple and areola
  • Ensure the baby is latched far onto the shield, with lips curled back
  • Ensure baby is not just sucking on the shield nipple
  • Use breast compressions to encourage swallowing. When swallowing stops, switch sides, it is not necessary to wash the shield when switching sides
  • After breastfeeding, make sure more milk is removed by hand expression or pumping to keep milk supply up. You can store milk in the fridge for up to 3 days and in back of fridge freezer or in deep freezer for 6 months.
  • Wash nipple shield between feeds with hot, soapy water and let air dry. Do not use antibacterial soap
  • Once dry, store in zip-lock bag or plastic container
  • Watch for swallowing and keep track of wet and soiled diapers to ensure baby is drinking enough
  • Go to all follow-up visits with health professional so baby can be weighed
  • Wean from shield as soon as possible
  • Follow-up closely with a breastfeeding expert


Latching: Using a nipple shield.  (Please note that laying the baby on the pillow is not optimal see our information and videos on feeding your baby