You can successfully breastfeed with flat or inverted nipples.
Talk to a lactation nurse or midwife in the hospital before your baby is born. They can help you prepare for latching your baby.
Flat nipples
With flat nipples, there is often no need to do anything. Your baby's strong suck will help to draw out flatter nipples.
You can help your baby latch with:
During engorgement your baby may find it hard to latch. Good hand expressing skills will help to soften the areola before feeding.
You can also try reverse pressure softening. This will let your baby latch more easily.
Engorgement while breastfeeding
Inverted nipples
If you have inverted nipples, you may need help and support. Inverted nipples are often caused by bands of connective tissue underneath the nipple. These can cause the nipple to be pulled back.
If 1 or both of your nipples are inverted, breastfeeding may take more time and patience at first.
You may have to apply suction to draw out the nipple before putting your baby to the breast. This only needs to be done for a short time. You can continue to breastfeed successfully with the right support.
When your milk comes in
Follow these tips to help your baby attach to the breast:
Do
-
massage your breasts before a feed
-
try hand expressing - to soften the area around your nipple
-
try reverse pressure softening - to soften the areola (circle around your nipple)
-
apply a cold compress - this may help to improve the shape of your areola and nipple
Important
Do not use nipple shields to help your baby latch on without support from a lactation nurse or midwife. This can lead to further problems.
More support
If your baby has difficulty with positioning and attachment, talk to:
- your midwife
- your public health nurse
- a lactation nurse or midwife
- a breastfeeding support group volunteer