Chapter 12. Nipple Issues
Nipple length is usually not the issue. It is common for babies to refuse direct breastfeeding after prolonged bottle use. You are doing a great job continuing to offer the breast despite your baby's refusal. Here is what to do next:
- Continue to hold your baby and attempt breastfeeding.
- Ask your lactation consultant to check your breastfeeding position.
- Change your feeding sequence: offer the breast first, then supplement with a bottle if needed.
If you are using a nipple shield, a strong let-down reflex is essential. Before breastfeeding, try massaging your breasts or hand-expressing milk for a while. Once you see milk dripping, let your baby latch on. If your let-down reflex is weak, milk flow will likely be poor, even with a shield.