Bouts of breast: When and how to use silicone nipples?

By Anne-Charlotte Rateaumis up to date on

How can the breast ends help prematurers?

A baby born normally has the birth suction reflex.He therefore takes the breast at full mouth, lengthening the language under the breast, and has effective suction movements.A prema will do all this in step, he will not do it at once, you have to give him time to learn.It is very rare that a premature person is effective within the outset.

The end of the breast is often recommended in the event of a crevasse, what do you think?

This is rarely a good solution because the end of the breast will increase the problem.If there is a crevasse, it is because the breast gain is not good in most cases, but when you have a breast, the baby often takes only the protruding part and will close the mouthabove.He therefore does not learn to have a good breast gain.Of course, if it is a question of stopping breastfeeding because the pain is too strong, it is better to use a breast, but it is necessary to find a solution.Like putting the baby back in ventral support, checking that he is well able to open his mouth, that he does not have a little problem (ultra tight jaw, language that is bad...)).Do not hesitate to call an IBCLC lactation advisor, to find help to understand the origin of the crevasse.Not to say that it will pass by itself, because in reality, it is rarely the case.

And in addition to crevices, engorgements, mastitis and abscess can be favored by a breast end because if the baby lies only on the protruding part, he does not drain the breast well.

How to choose your breast ends?

There are several sizes.We choose them according to the size of the mother's nipple.It should not be compressed in the end of the breast, otherwise it will be painful.There should also be that there is air around the nipple in the end of the breast, because the baby will then swallow a lot and get little milk.

Do breast ends decrease the amount of milk received?

It all depends, if the baby head very well on the breast ends, with a nice opening of a very wide mouth and a good suction, it will have a good amount of milk.On the other hand, if he head closing the mouth on the breast, the tongue will be badly positioned, and he will then have less milk.However, this does not mean that its weight gain will be less.The amount of milk that the mother has also plays a role: if she has a lot of it, even if the baby heads badly on the breast, he can get bigger.

How to clean a piece of breast?

A l’eau chaude et au liquide vaisselle (ou savon)) entre chaque utilisation, sinon il y a du gras qui reste dessus, et ce n’est vraiment pas propre.To know also: a silicone end, it's almost unusable.Often mothers change because they have the feeling that they take off, but they are often simply badly positioned.

How to apply a piece of breast?

It must be returned at mid-height, stretch it and put it by stretching it to create a suction cup effect and that there is no air.In this way, there is no need to moisten the silicone upstream, as some.e.s recommend it.

How to wean a breast end?

First of all, you have to understand what happened when we put it, what was the baby's difficulty?Has it been resolved?It also depends on the baby, if it is used to contact with the end of the breast against the palate, which is very steep and induces a very strong stimulation, it can be lost without, and not know what to do.In this case, try to remove it during feeding, in the middle, and see if the child continues his sucking movement.This is really on a case -by -case basis, because some babies will do without any concern.

What do you answer to a mother for whom breasts = failure?

It’s not your fault, we didn't accompany you correctly with this difficulty, but there are solutions.Maternity teams are often poorly trained.This is a structural problem, they cannot help mothers on points that they do not know.

The testimony of Louisa, mother of Eddy and Nina

""The bits of breast saved my breastfeeding, perhaps even both.I used them for two months for my first child, born four weeks in advance, and three-four days for my daughter, born after term.My son was putting the breast well in my mouth but it pinched me a lot.After three days of pain, the midwife of motherhood advised me to use bits of breast: it has changed everything!In two-three feedings, I was no longer hurting.In addition, with a piece of breast, I saw the milk coming out, and it reassured me.At least, I was sure that the milk was coming out properly and that my baby was drinking well, even if we don't necessarily need a breast to know it.We continued thus for two months, then, feeling that I could do without it, I used one piece of breasts one feeding in three.I was no longer suffering.My body was used to breastfeeding, the pace was taken. Je pense que j'aurais pu arrêter plus tôt, mais cela me rassurait et je me disais qu'Eddy était habitué, donc pourquoi stopper ? Cependant (et heureusement)), force est de constater que l'arrêt ne l'a absolument pas perturbé.I stopped breastfeeding within 8 months.

For my second breastfeeding, three years later, I anticipated by buying bits of breast before birth.The first day, I tried without, but very quickly, I found the unpleasant pinching of my first times with Eddy.Very small crevices appeared.So I did not wait and used breast ends in stride.After three days, I realized that I was missing one, forgotten on the maternity meal set.It was not practical because it had to be washed immediately, always having a clean and dry to have available.So I stopped using it, the small crevices having disappeared.I did not hurt anymore, I guess my body had the memory of breastfeeding.We continued up to her 13 months.""