It is not uncommon for a woman to have or or two flat or inverted nipples. This can make breastfeeding a little more difficult at the start, but patience and guidance can quickly alleviate the problem.
During pregnancy
Some women use breast shells (also called shields or milk cups) to correct inverted nipples. The shells are made of two pieces of plastic. The first piece is shaped like a ring, has a soft silicone backing, and a hole through which your nipple should eventually protrude. You place the ring over your areola and it exerts a constant, gentle pressure that gradually draws out a flat or inverted nipple. The second piece is a rounded dome that fits inside your bra cup to cover the ring.
Some experts recommend massaging your nipples to help them protrude. Using a technique known as Hoffman's exercises, loosen the skin and stretch the nipple by placing your thumb and index finger on opposite sides of the base of your nipple and pressing inward and then pulling away. Perform this exercise five times a day, first thing every morning, during your final month of pregnancy.
Warning: Excessive nipple stimulation during pregnancy can make your uterus contract and is potentially dangerous for a high-risk pregnancy. Consult with your healthcare provider before beginning treatment for flat or inverted nipples.
After delivery
If the condition hasn't improved by the time your baby's born, you may need to seek breastfeeding guidance from your doctor or lactation expert. They may suggest that before you nurse you:
- Briefly use a breast pump
- Wear breast shields for 30 minutes
- Apply ice to your nipples
- Avoid artificial nipples, which can cause nipple confusion later.
Remember, your top priority is giving enough milk to your baby. You may have to pump your breast milk for a week or more until your nipples protrude enough to nurse.
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