Today we're talking about nippers, different type of nipples. Knowing your type, General nipsa character and breastfeeding and how to deal with sore nipples. In the video about effective attachment I have demonstrated why it is important for your baby to attach the play into the breast and not just the nipple. It is true that babies when they're born, they do not expect something sticking up to latch on to, they do have the ability to work with whatever they're presented with, provided that they're giving enough time and uninterrupted skin to skin contact. And the words enough time, on skin to skin contact. A very important here In addition, it is also beneficial to get to know your Nipa type during pregnancy, as knowing what certain nip is required can make your breastfeeding started easier.

For the purpose of breastfeeding nipples can be divided into three main categories. nipple one and category one will be classed commonly as the normal Nipa which is the protruding nipple. As you can see in this breast model, necklace two, or category two is the flat knipper. So the Nipa would be at the same level of the Arriola and your breast almost, and category three would be the inverted Nipa. So the anatomy looks like the nipple is pulled into the breast and the nipple is sitting. Right attracted sort of a little bit inside the breast.

Most of us women are not symmetrical and it is quite common that your baby favors one side over the other. It's possible also that you have one protruding nipple and one inverted nipple. So for instance, you could have a right protruding nipple and a left inverted nipple, and that is also normal to determine whether you have a flat or inverted nipple if you're not quite sure, you could perform a so called pinch test. And all you would have to do is gently compress your breast about three centimeters behind the nipple or at the edge of the areola and just gently compress it and you can see in this breast model, nothing happens as this is a protruding nipple. The nipple stays out with a Flat naked. Usually what happens as well as that upon stimulation or when you're performing the pinch test, your nipple will come out and will become inverted.

And with inverted nifa during the pinch test, what you will see happening is that the nipple is retracted and put into the breast like so you perform the pinch test and this happens to your nipple, then you can be quite sure that you have an inverted nipple. If you think you have a flat or inverted nipple, it is advisable to speak to your health care provider during pregnancy and ideally during the first or second trimester to find out whether there is anything you should do in advance to prepare for breastfeeding. why it is important to discuss this in the first Or the second trimester, I will touch on a little later. Generally for all the nipple types, there are quite a few things you can do to avoid SORNA post during breastfeeding Nipa two and three, the flattened inverted nipple might just need some additional care, which I will talk about in a short way.

It used to be common belief that you need to toughen up here in a post in preparation for breastfeeding. Studies have long shown that this is not the case. You might have noticed during pregnancy. Your Arriola is becoming a little bit bumpy here. Those tiny bumps are called the Montgomery glands. the montgomery glands secrete a natural oil that protects your knipper and keeps it lastic it also reduces the risk of bacterial growth and infection on your Arriola knipper.

It's enough to just let those natural oils do their job. Your breasts only need cleaning with water during your daily shower. Avoid soap or any other substances that could dry out your skin. Also avoid any kind of non breathable plastic lining in Breast pads or your bras. Your brush should ideally be cotton and not under wired. Especially if you're leaking a lot.

A damp environment increase the risk of bacterial and fungal infections such as thrush, and you will hear a little bit more about common breastfeeding challenges such as thrush or breast infection mastitis in a video about common breast feeding lunches. When you start breastfeeding, your nipples will be exposed to a significant vacuum. And the strain on the nipple is caused by up to 10 or more feeding sessions in 24 hours may lead to soreness or even a little bit of pain in the early days. The good news unit plus work get used to it very quickly and the soreness will pass baby slashing attachment a crucial to Nipa comfort and again, you might like to review the video on correct positioning and attachment. Ensure that your babies latched on deeply with each feed, as even one sub optimal latch can cause some nipple damage. In the early days, let your baby approach the breast from different positions offer the best in the rough behold the cradle hold or sideline Change up positions quite frequently.

Not only will this help your baby to empty the breast effectively and get as much milk as they need, it also allows your baby to compress different parts of your nipple areola area and thus, cause less friction in the same spot. After feeding at the end of each feed, express a few drops of milk and gently rope them into your nipple and areola. Breast milk contains a lot of antibodies and also a little bit of fat that will protect your nipple and assist with the healing of any crack nippers or damaged skin. If your skin is especially dry or damaged, you may want to apply a small amount of lanolin natural product obtained from sheep's wool lanolin supports moist wound healing and does not have to be washed off prior to feeding. A lot of new mothers apply lanolin during the early days of breastfeeding, as they find this soothing until they get used to it.

Lanolin is a well established nipple care product. There are other products on the market, but it is advisable to speak to a lactation consultant before using them as chances are that you will need a breastfeeding review. The same goes for the introduction of nipple shields. A nipple shield is a plastic teeth that sits on top of your own nipple and nipple shield can temporarily relieve excruciating pain, but should never be a long term solution and only be used under the supervision of your health. care professionals, as there are certain risks associated with the use of a nipple shield such as a drop in milk supply, slow weight gain windy baby. And also baby will be and the sub optimal latch as where the longer you use an approach to the more difficult it will be for your baby to transition back to direct breastfeeding as they get used to sucking on the nipple shield.

There are different types of nipple shields on the market. And you need to find out which type works best for you and your situation. So it's advisable that you use a negotiator only under the supervision of lactation, a lactation consultant and also check whether you're using the right size and Also give you guidance on how to be enough and a pursuit eventually. So they can be very useful temporarily to allow your knipper to heal. Or if you have an inverted nipple, your mucus come in, and your baby is not yet attached to your breast, then your baby might be able to feed for a little while with the shield, and then be able to put that on at the start of the feet. And then as the baby has drawn out a little bit more, then you take it off, let's say after the first few minutes of the feed.

So I'm just going to demonstrate that with you because now, Lucas's Never Fade on an a push to you, so I'm not sure if he will, but just for the purpose of demonstration, we'll have another And, and see what he makes of it to put the nipple shield on correct click this new nipple shield that I have hasn't got the plastic go all around, it's got a cut out of the plastic here. And that is the bit that will allow the baby to be in contact with the mothers skin. That's important for when you're applying the nipple shield as you have to apply it slightly differently depending on which position you're going to feed in. So for example, if you're going to feed in the cradle, across cradle. I'm going to demonstrate this now. Show you how you apply on your breath.

First of all, you want to roll over a little bit. So halfway. So you do Just want to put the nipple shield directly on the breast like that so you don't just put it on like that and hope for it to stay on. You're going to fold it slightly about halfway point, fold it over. And then if you're going to feed in the cradle hold, so your nipple shield is halfway folded over and you're going to put on the breast like that. So that the nipple is drawn as far into the shield as possible.

Yeah, so that the nipple is out as much of the shield as possible, because you don't just want your baby to attach onto the shield. Also, still, you want your baby Ladies chin to come onto the breast chin leading and take some of the areas. If your baby's just thinking from the teeth and the shield again, there's not going to be enough stimulation and flow so your baby is likely to not get enough milk through the shield and that is another risk factor of the nipple shield that babies tend to not take in as much milk with a shield and need to feed for longer and they're waiting to be monitored. When you're saying maybe on with the shoot very similar way going to attach me and you can see it's free. That's where the plastic box if you are using a nipple shield in the rock behold, like in the cradle, you have the plastic free side on the side.

If you're using a shield or if your baby you need to turn around the nipple shield so the plastic side is on top. Just going to demonstrate this now. So again, you're going to fold it over halfway. Put it onto your breast, ensure Cuz you want to be in contact and smell the skin and then the chain he's giving out but he's complaining a bit because he's not used to feeding with a nipple shoe. It's just for the purpose of demonstration and I think he's a little confused. But just so that you get the idea and here he's It's not ideal, he's chomping a little bit on the nipple because he's on the nipple shield because he's not used to feeding with a shield.

So the nipple shield and the nipple shouldn't be moving in and out like that he should be deeply attached and not chomp and and kink the shield. Another thing to mention as well as that when at the end of the feed, it might be useful to check whether there's any milk in the shield, although that is not always a very reliable tool for my transfer. But if you can see some medic in the shoot, there is an indication that baby was able to create a milk flow. Now, let's review up to a nipple three, the flat and inverted nipple and the inverted Nipa in particular, always remember, it is not impossible to breastfeed with an inverted nipple. It might just require a little more work, but you can get there. Ideally, speak to your health care provided at the beginning of the second trimester, they might recommend you start using a neglect, which can help correct an inverted nipple.

So I have a Nicolette here and I will briefly talk you through how in the pledge works. And Nicolette is a device to correct inverted nippers, and it was originally invented or produced to correct inverted nipples for models but it also is beneficial to correct inverted nipples for breastfeeding in a plat consists of three parts. The top part that goes on to the nipple areola area which looks like a symbol almost. Then you have the connection and a syringe. And this range is important to create a vacuum. So you apply the same bird pulling back the plunger of the syringe create a vacuum and the skin is pulled into the timber.

Then you can detach the syringe and this will sit in your bra you can slowly increase the time it's always important to follow the instructions and read the instructions carefully before the US but this can sit in your browser For a number of hours, you can slowly increase that, as I said, Follow the instructions on the product. And by the end of it, you can, your inverted knipper can be encouraged to come out. And actually, if you allow enough time and this is why it's important to start in the second trimester, so that you use the product for long enough to see a benefit. It is very important that you adhere to the instructions of the product and to health care provider and do not use any plate during the third trimester of pregnancy as premature labor can potentially be triggered by the nipple stimulation. So that's very important.

Breast chels So cold nipple formers can also assist with drawing out a flat or inverted nipples. Why is the plat is a pretty successful tool during pregnancy. And in fact, I used it for my own flat nipples during my first pregnancy quite successfully. Breast chels only make little difference during pregnancy. If you decide to try them out, only wear them from 3738 weeks onwards under the supervision of your health care professional as the nipple stimulation and the gentle pressure that is applied by those shells on your nipple aerial area could also potentially trigger premature labor. Best chairs consists of two parts So you have the cup here that sits in your bra.

And in those plus in this plastic cup there are small holes which with allow air ventilation, and then you have the part that is the Nick the former, and it's got a hole here, you can get this hole in different sizes. Again, it depends on the size of your breath. So this snippet former, six in your breath, you can wear it between feet. So at the end of the feed, you would squeeze out your jaw, drop it gently into the skin, and then put on the nipper format with the hose upwards, so that anything any milk leaking will not be lost. So if you have sterilized your Nipa former you can make use of the moon and use it for your baby. It's also beneficial as the nipple former prevents your clothing from rubbing against a damaged nipple and you then wear it between feeds.

It's actually quite comfortable. And sure us your best fills up that the pressure gets not too much because too much pressure could potentially cause a blocked milk docked. And then before the next fee, ideally, your knipper as it's been sitting in the hole with a little bit of gentle pressure, it will be inverted a bit more and then it will be easier for the baby to latch on. A lachesis can draw out a flat or inverted nipples immediately before feeding hand expressing also stimulates your nipple and encourages the baby to feed. So you might like to review the video on hand expressing as hand expressing a little bit of milk stimulates your nipple to come out and also the milk will encourage your baby to feed. When offering your breast you might find it helpful to assume a laid back position as the gravity will pull your baby deeper into the breast and allow the baby to take a large mouthful of breast the tea cup sandwich holes in the modified rock beholds Because then I have demonstrated your baby's lying on a prop at the level of your breath.

So you have two hands free to sandwich you're pressed for a better lunch can really help with inverted Nicholas. The key is that your baby draws and a large mouthful of breast. If your baby struggles to latch on, despite using the aids that I've just mentioned, you might need to hand express or even pump for extra breast stimulation to ensure your milk is coming in and for an adequate milk supply. Using the pump, just a few minutes prior to feed, will do the same as a lachesis and pull out your nipple a little bit for maybe an easier latch on, your baby might find it easier to latch on once your milk has come in. Or you might need to use a nipple shield temporarily once you make us come in until your nipple is more of a inverted nipple can actually become an inverted nipple with breastfeeding, but it will take its time.

I strongly recommend to be under the care and supervision of a lactation consultant. If you're struggling with flat or inverted nipples, so that you can agree a care plan during pregnancy and your lactation consultant can monitor you and your baby. By viewing the material of this online course, you're agreeing to accept all parts of the terms and conditions and medical disclaimer brief. This online course is not intended to be a substitute for the professional medical advice, diagnosis or treatment provided by your own medical provider. The information provided is for educational and informational purposes only, and not to be regarded as individual medical advice. The information has not been evaluated by any governing or professional body.

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