This generally poses a problem during breast-feeding. A
woman may produce enough milk but due to flat nipples the breasts feel full, heavy and
painful. As a result the baby is not able to suck enough milk and remains hungry and
cranky. The management of flat nipples however much engorgement contributes to the
- Try to manipulate the nipple a little, to make it more erect and easy to grasp.
- It is often helpful to remove some of the milk so that the breast becomes a little
softer you can either express by hand or use a breast pump.
- Gently and patiently, put the infant to the breast for another try. One drop of milk
left at the tip of the nipple may act as appetizer.
- Remember that the nipple and the areola (the dark skin round the nipple) must
both be put well into the babys mouth. Sometimes to do this you have to press
the baby rather firmly on to the breast. Dont be afraid to do this if you
think the breast is going to block the babys nose, use a finger to hold the breast
clear of the nose dont pull the babys head away!
If the baby still does not succeed let it suck through a
nipple shield for a few days, until engorgement subsides and the nipple has stretched.