Dealing With Inverted Nipples While Breastfeeding

by LisaC

There are as many different nipple and breast types as there are mothers with breasts. Each is different and we are so well constructed that thee different types should pose no problem for mom or baby. However, a mother with severely inverted nipples may have some issues that others don’t have in breastfeeding.

It of course depends on the severity of the inversion and when it is discovered as to what steps to take to ensure a comfortable breastfeeding experience for mother and baby. It should be understood though that with only a slight degree of nipple inverstion, a normal baby should have no real problems getting a good latch and adequate milk. If the infant can get a decent amount of breast into his mouth then breast feeding should not be a problem. For moderately to severely inverted nipples then there are other steps to take.

If the nipple inversion is discovered during pregnancy there are some exercises that can be done. Most notable among which is called the Hoffman technique. This consists of placing thumbs along either side of the nipple and pushing inward while pulling the tissue away from the nipple. It can help to loosen the adhesive tissue that is holding the nipple inward. Breast shells can also help during pregnancy helping to position the nipple outward and allowing a gradual change in the connective tissue.

If inverted nipples cause problems with baby’s latch on then there are other means to help correct this

Correct positioning during latch on can help with inverted nipples. Pull back on the breast tissue as the baby is establishing a latch, the sucking action and the pull-back of that tissure can allow an inverted nipple to protrude sufficiently for comfortable breastfeeding for both mother and child.

A good breast pump can effectively pull out nipples by providing uniform suction of the breast. Some mothers use a breast pump for a short period directly before feeding the infant, just to bring out their inverted nipples and make a good latch on possible. a short period of prefeeding breast pumping should not affect milk production.

With persistence and the proper advice a mom with inverted nipples should have few difficulties. However, if the latch on problem is severe than a lactation consultant should be contacted. Proper positioning during latch on is critical.

Sore nipples can and do happen to almost every nursing mother and particularly to those with inverted nipples. Nipple soreness is normal until breasts toughen up a little. However if the nipple inverts again during feeding then milk can collect around the severely inverted nipple causing cracking and soreness.

In cases where the nipple is severely inverted or where skin adhesion is stubborn and the nipple refuses to pull out consistently then a hospital grade breast pump is often highly recommended. A breast pump can provide the even pressure that will encourage the nipple to protrude and eventually break down the tissue adhesions causing the nipple to invert.

Before any course of treatment is decided upon and implemented it is critical a mother consult a doctor or lactation specialist.

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