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The protocol of health education on breastfeeding and clinical demonstration was the same for both groups and was applied by the researchers with previous training to maintain the same steps during every section of health education. The breast anatomical model and neonatal manikin were used to assist mothers in developing breastfeeding skills through understanding and reproducing the proper positioning and latching of the baby for breastfeeding, assimilation about the mechanisms of milk production, storage and ejection of human milk at the breast, as well as massage and breast milking. An illustrated album, based on the latest breastfeeding orientations of the World Health Organization (WHO), were used to give explanations about breastfeeding.
The other benefit the shells provide is by acting as a shield to prevent nipple chafing. We’ve all had periods where our nipples have been too sensitive after a feeding. Using these shells helps many mothers with inverted or flat nipples keep their nipples drawn out for longer. The difference between these and the regular shells is the addition of a plug for the air vent. This acts as an added safety valve for when the milk collectors might get a bit too close to full capacity. Do keep in mind to not put them the wrong way round and to keep the vent facing upwards, otherwise, you might get a nasty surprise when you realize all your milk has started leaking downwards through the vent.
What causes sore nipples when breastfeeding?
That said, it’s still a perfectly viable product and one of the most comfortable ones on the market, especially considering the Mommyz Love milk collection shell is completely leak-proof and its design easily helps you drain breast milk off for storage if you wish, ensuring none of your precious milk goes to waste. It’s the granddaddy of all milk savers as far as capacity goes as it can store up to nearly 2 oz’s worth of breast milk at a time. A clinical study found no association between breast shells and Hoffman exercises for nipple preparation [ 22]. However, a case report found nipple hypertrophy after breast shell use for 3 days [ 30], although with a weak level of evidence for clinical practice and decision making. Notably, variations in nipples, such as inversion, are not an impediment to breastfeeding. Rather, proper breastfeeding technique is essential for successful breastfeeding regardless of the nipple [ 29]. Nipple shields are thin, protective covers worn over the nipple while breastfeeding. Breast shells are hard, protective covers worn inside the bra.
Starting us off with one of the most premium milk collection shells on the market, it’s Elvie with their very own food-grade silicone-constructed nursing cups. Roll the nipple between the thumb and index finger and immediately afterwards touch the nipple with a moist cold cloth. Avoid making the nipple too cold because it can result in the nipple being numb, and inhibit let down. Their milk collection shells are made out of high-quality, food-grade silicone on the inside with the outer shell being constructed out of Phthalate and BPA-free PP. Inverted or pseudo-inverted nipples can result in difficulties in breastfeeding due to inadequate attachment of the baby, which can favor the emergence of nipple trauma. To eliminate this confounding variable, women with inverted and pseudo-inverted breasts were excluded from the study [ 8, 10].
If you think you have thrush, see your GP. They can prescribe cream to treat you and your baby . It's important that both mum and baby are treated for thrush because it is very easily transmitted from one to the other. Other members of the family might need to be treated too (NHS, 2018). For some women and babies, nipple shields can help to establish breastfeeding and make it more comfortable. They might also compensate for immature feeding behaviour in premature babies. On the other hand, they might reduce milk supply, leading to premature weaning from the breast. Babies can also become reliant on them, not wanting to feed without (Chow et al, 2015).
It’s important to keep your breastfeeding accessories clean, and this includes breast milk collection shells. Before the first time you use them – and once a day thereafter – sanitise the breast shells like this:
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The best part about them isn’t all of that though, it’s the added air vent at the top of the breast shells that help keep the air circulating to prevent excess moisture from accruing around the nipple, thus helping to prevent nipple rashes and other problems from occurring. This non-randomized clinical trial was conducted according to the recommendations of the “Consolidated Standards of Reporting Trials: The CONSORT Statement” and the “Improving the reporting quality of non-randomized evaluations of Behavioral and Public Health Interventions: The TREND Statement” [ 24]. Sample size calculation was based on a study on health guidance for breastfeeding in the prenatal period with 70 primiparous women from the 36th week of pregnancy [ 25]. It resulted in a sample of 80 participants randomly distributed between the experimental and control groups, including a 20% loss margin, with a statistical power of 80% and a significance level of 95% ( p = 0.05). Use nipple and breast support to help protrude the nipple. Use both hands on each side of breast to make a “sandwich”, to squeeze nipple and areola. Use hands to press in on breast like the way you hold a big sandwich to put in the mouth.
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