Always talk with your health care provider before using a nipple shield. The Hoffman Technique is a manual exercise that may help break adhesions at the base of the nipple that keep it inverted. However, research shows that breast shells are seldom helpful and may, in fact, do more harm than good by making mothers all the more anxious. You can feed the baby the milk you expressed on the inverted side after nursing on the other breast.
Can I breastfeed if I have flat or inverted nipples?
Truly inverted nipples are rare. Supplementing your baby or using breast feeding with flat breasts nipple shield temporarily is preferable to having a baby who screams every time you open your nursing bra. This is especially the case if the inversions are present in both nipples. Actually, your ability to breastfeed has little to do with the size and shape of your breasts. If feedings become stressful, stop and comfort your baby.
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If the soreness lasts for more than a week or two, you may need to use a high quality breast feeding with flat breasts See article Pumping and Storing Breastmilk to help maintain your milk supply. In almost all cases, the adhesions will loosen and the baby will be able to nurse effectively as he grows bigger and stronger and becomes more efficient at nursing, whether you invest in gadgets or not. In order for a baby to nurse effectively, he must be able to grasp the nipple and stretch it forward and upward against the roof of his mouth. Many mothers with flat or inverted nipples experience some degree of nipple soreness. You want him to associate feedings with positive feedback, not negative.