08/23/2022
Moving away from ni**le shields.
Ni**le shields can be a useful tool in some circumstances; getting a bottle fed baby to latch or getting a preemie, tongue tied or high palate baby to transfer more milk from the breast are examples.
However most parents would prefer to not have to use them. And sometimes they can cause longer term problems with milk transfer, making the feeds longer and less efficient. Sometimes this can have the knock on effect of slow weight gain
Tips to move away from shields:
*Start the feed with the shield, once the milk is flowing and baby is relaxed try unlatching, removing shield and relatching baby without it. It sometimes works!
*Try without the shield when baby is sleepy or chilled out and not particularly hungry.
*Ensure a really deep latch. -Shaping the breast so it is more mouth shaped can help get more breast tissue into the mouth. If baby's mouth is horizontal place your hand in a C shape around the breast and compress a little. If baby's mouth is more vertical (when baby is lying on their side) then place hand in U shape under the breast and compress. Once baby is latched you can remove your hand gently.
-An exaggerated latch (point ni**le to nose) can help it get up into the roof of the mouth more effectively. This will trigger the baby's suck reflex more effectively.
*Try koala hold (see reels). This hold can work really well when trying to move away from shields.
*Breast compressions can help convince baby to keep sucking if they have latched.
*Have lots of skin to skin time and see if baby will self-latch like we often do after birth, in a laid back position. Trying this in the bath sometimes works well as the heat and skin to skin resets baby and their natural feeding instincts take over.
*Try at different times of day and indifferent situations. Sometimes one feed will work but another won't.
*Keep trying! Most of the time babies will feed without them eventually!