Breast shell

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Breast shells are hollow, lightweight plastic disks worn inside the brassiere to help correct flat or inverted nipples either in preparation for or during breastfeeding. Also known as milk cups, breast cups, breast shields, or Woolwich shields, they can also be used to ease sensitive nipples or collect milk when the baby has not finished the teat. [1] Breast shells function by applying gentle but firm pressure to the region surrounding the nipple to stretch underlying adhesions and draw out the nipple. [2] Nipple shields may be confused with breast shells, but shields are intended for use during the act of breastfeeding, whereas breast shells are worn in preparation for or after breastfeeding.

Contents

Usage

A breast shell is composed of inner and outer sections which snap together and enclose the nipple. The inner section, which encircles the nipple and puts pressure on the surrounding breast tissue, is often lined with soft material such as silicone. The rigid outer section separates the nipple from the bra and clothing and leaves open a space which can collect milk. [1] [3]

If the shell is used to help ready the mother for breastfeeding, this is best done during pregnancy because the shell can increase leaking of breast milk or colostrum. On the other hand, some wear breast shells to collect leaking milk while nursing the baby on the other breast. [1] If worn to correct inverted or flat nipples, the shells are typically worn during the third trimester for up to 10 hours daily as the mother's comfort dictates. [2] [4]

Criticism

Some research suggests that breast shells used on inverted nipples may either hinder or have no effect on the mother's ability to breastfeed successfully. One study of women with inverted or non-protractile nipples found no statistically significant difference in breastfeeding success between using breast shields and doing nothing. [5]

See also

Related Research Articles

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The nipple is a raised region of tissue on the surface of the breast from which, in females, milk leaves the breast through the lactiferous ducts to feed an infant. The milk can flow through the nipple passively or it can be ejected by smooth muscle contractions that occur along with the ductal system. Male mammals also have nipples but without the same level of function, and often surrounded by body hair.

<span class="mw-page-title-main">Breast pump</span> Mechanical device used to extract milk from human breasts

A breast pump is a mechanical device that lactating women use to extract milk from their breasts. They may be manual devices powered by hand or foot movements or automatic devices powered by electricity.

<span class="mw-page-title-main">Nursing bra</span> Specialized brassiere

A nursing bra is a specialized brassiere that provides additional support to women who are lactating and permits comfortable breastfeeding without the need to remove the bra. This is accomplished by specially designed bra cups that include flaps which can be opened with one hand to expose the nipple. The flap is usually held closed with a simple clasp or hook.

<span class="mw-page-title-main">Breast engorgement</span> Medical condition

Breast engorgement occurs in the mammary glands due to expansion and pressure exerted by the synthesis and storage of breast milk. It is also a main factor in altering the ability of the infant to latch-on. Engorgement changes the shape and curvature of the nipple region by making the breast inflexible, flat, hard, and swollen. The nipples on an engorged breast are flat or inverted. Sometimes it may lead to striae on nipples, mainly a preceding symptom of septation mastitis.

<span class="mw-page-title-main">Nipple piercing</span> Body piercing, centered usually at the base of the nipple

A nipple piercing is a type of body piercing, centered usually at the base of the nipple. It can be pierced at any angle but is usually done horizontally or, less often, vertically. It is also possible to place multiple piercings on top of one another.

<span class="mw-page-title-main">Inverted nipple</span> Medical condition

An inverted nipple is a condition where the nipple, instead of pointing outward, is retracted into the breast. In some cases, the nipple will be temporarily protruded if stimulated. Both women and men can have inverted nipples.

<span class="mw-page-title-main">Supplemental nursing system</span>

A supplemental nursing system (SNS), also known as a lactation aid, is a device that consists of a container and a capillary tube. It is used to provide additional nutrients to a baby whose mother has low milk supply. During breastfeeding, the end of the tube is placed alongside the mother's nipple so that both the tube and the breast are in the infant's mouth.

<span class="mw-page-title-main">Nipple shield (breastfeeding)</span>

A nipple shield is a nipple-shaped sheath worn over the areola and nipple during breastfeeding. Modern nipple shields are made of soft, thin, flexible silicone and have holes at the end of the nipple section to allow the breast milk to pass through.

Nipple shield may refer to:

<span class="mw-page-title-main">Erotic lactation</span> Sexual activity involving the stimulation of womans breast

Erotic lactation is sexual arousal by breastfeeding on a woman's breast. Depending on the context, the practice can also be referred to as adult suckling, adult nursing, and adult breastfeeding. Practitioners sometimes refer to themselves as being in an adult nursing relationship (ANR). Two persons in an exclusive relationship can be called a nursing couple.

<span class="mw-page-title-main">Breastfeeding difficulties</span> Medical condition

Breastfeeding difficulties refers to problems that arise from breastfeeding, the feeding of an infant or young child with milk from a woman's breasts. Although babies have a sucking reflex that enables them to suck and swallow milk, and human breast milk is usually the best source of nourishment for human infants, there are circumstances under which breastfeeding can be problematic, or even in rare instances, contraindicated.

<span class="mw-page-title-main">Breastfeeding</span> Feeding of babies or young children with milk from a womans breast

Breastfeeding, or nursing, is the process by which human breast milk is fed to a child. Breast milk may be from the breast, or may be pumped and fed to the infant. The World Health Organization (WHO) recommends that breastfeeding begin within the first hour of a baby's life and continue as often and as much as the baby wants. Health organizations, including the WHO, recommend breastfeeding exclusively for six months. This means that no other foods or drinks, other than vitamin D, are typically given. The WHO recommends exclusive breastfeeding for the first 6 months of life, followed by continued breastfeeding with appropriate complementary foods for up to 2 years and beyond. Of the 135 million babies born every year, only 42% are breastfed within the first hour of life, only 38% of mothers practice exclusive breastfeeding during the first six months, and 58% of mothers continue breastfeeding up to the age of two years and beyond.

<span class="mw-page-title-main">Lactation</span> Release of milk from the mammary glands

Lactation describes the secretion of milk from the mammary glands and the period of time that a mother lactates to feed her young. The process naturally occurs with all sexually mature female mammals, although it may predate mammals. The process of feeding milk in all female creatures is called nursing, and in humans it is also called breastfeeding. Newborn infants often produce some milk from their own breast tissue, known colloquially as witch's milk.

Cracked nipple is a condition that can occur in breastfeeding women as a result of a number of possible causes. Developing a cracked nipple can result in soreness, dryness or irritation to, or bleeding of, one or both nipples during breastfeeding. The mother with a cracked nipple can have severe nipple pain when the baby is nursing. This severe pain is a disincentive for continued breastfeeding. The crack can appear as a cut across the tip of the nipple and may extend to its base. Cracked nipple can develop after the birth of the infant and is managed with pharmacological and nonpharmacological treatment.

A blocked milk duct is a blockage of one or more ducts carrying milk to the nipple for the purpose of breastfeeding an infant that can cause mastitis. The symptoms are a tender, localised lump in one breast, with redness in the skin over the lump. The cause of a blocked milk duct is the failure to remove milk from part of the breast. This may be due to infrequent breastfeeding, poor attachment, tight clothing or trauma to the breast. Sometimes the duct to one part of the breast is blocked by thickened milk. A blocked milk duct can be managed by improving the removal of milk and correcting the underlying cause.

<span class="mw-page-title-main">Latch (breastfeeding)</span> The way a baby fastens onto the breast while breastfeeding

Latch refers to how the baby fastens onto the breast while breastfeeding. A good latch promotes high milk flow and minimizes nipple discomfort for the mother, whereas poor latch results in poor milk transfer to the baby and can quickly lead to sore and cracked nipples. In a good latch, both the nipple and a large portion of the areola are in the baby's mouth.

A nipple bleb is a blister on the nipple that can be filled with serous or other fluid. It may be pink or light yellow. It is thin-walled and may appear as a small blister, more than 5 mm in diameter. It can also be referred to as a bulla. Some clinicians may also include milk blisters as a type of bleb. In addition, a blocked Montgomery gland may also be called a nipple bleb though its cause is different than a milk or serous-filled bleb on the nipple. In some cases the bleb may be associated with an adjacent blocked sebaceous cyst.

Nipple confusion is the tendency of an infant to unsuccessfully adapt between breast-feeding and bottle-feeding. It can happen when the infant is put back onto breast-feeding. Nipple confusion can turn into nipple refusal in which the infant refuses both the bottle and breastfeeding.

Nipple pain is a common symptom of pain at the nipple that occurs in women during breastfeeding after childbirth. The pain shows the highest intensity during the third to the seventh day postpartum and becomes most severe on the third day postpartum.

<span class="mw-page-title-main">Hand expression of breast milk</span>

Hand expression of breast milk is a technique used by lactating mothers to express milk using their hands. It is an ancient practice that has been used by women across the world for centuries. Hand expression has gained renewed interest in recent years due to its affordability, portability, and effectiveness. It is an important tool for breastfeeding mothers, especially those who are unable to afford or access breast pumps.

References

  1. 1 2 3 Woessner, Candace (January 1, 1995). Breastfeeding Today (2 ed.). Avery. pp. 220–221.
  2. 1 2 Mohrbacher, Nancy (January 1, 2003). The Breastfeeding Answer Book. La Leche League International. p. 472.
  3. "BH waschen, aber richtig" . Retrieved 2018-08-18.
  4. "Breast Pump Guide". Thursday, April 23, 2020
  5. Alexander, JM; et al. (April 1992). "Randomised controlled trial of breast shells and Hoffman's exercises for inverted and non-protractile nipples". British Medical Journal. 304 (6833): 1030–2. doi:10.1136/bmj.304.6833.1030. PMC   1881748 . PMID   1586788.