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2015 ; 3
(ä): 236
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The Use of Nipple Shields: A Review
#MMPMID26528467
Chow S
; Chow R
; Popovic M
; Lam H
; Merrick J
; Ventegodt S
; Milakovic M
; Lam M
; Popovic M
; Chow E
; Popovic J
Front Public Health
2015[]; 3
(ä): 236
PMID26528467
show ga
INTRODUCTION: A nipple shield is a breastfeeding aid with a nipple-shaped shield
that is positioned over the nipple and areola prior to nursing. Nipple shields
are usually recommended to mothers with flat nipples or in cases in which there
is a failure of the baby to effectively latch onto the breast within the first
2?days postpartum. The use of nipple shields is a controversial topic in the
field of lactation. Its use has been an issue in the clinical literature since
some older studies discovered reduced breast milk transfer when using nipple
shields, while more recent studies reported successful breastfeeding outcomes.
The purpose of this review was to examine the evidence and outcomes associated
with nipple shield use. METHODS: A literature search was conducted in Ovid
MEDLINE, OLDMEDLINE, EMBASE Classic, EMBASE, Cochrane Central Register of
Controlled Trials, and CINAHL. The primary endpoint was any breastfeeding outcome
following nipple shield use. Secondary endpoints included the reasons for nipple
shield use and the average/median length of use. For the analysis, we examined
the effect of nipple shield use on physiological responses, premature infants,
mothers' experiences, and health professionals' experiences. RESULTS: The
literature search yielded 261 articles, 14 of which were included in this review.
Of these 14 articles, three reported on physiological responses, two reported on
premature infants, eight reported on mothers' experiences, and one reported on
health professionals' experiences. CONCLUSION: Through examining the use of
nipple shields, further insight is provided on the advantages and disadvantages
of this practice, thus allowing clinicians and researchers to address
improvements on areas that will benefit mothers and infants the most.