On months 3 and 6 postpartum, we will call the participants to collect information on infant feeding methods, adverse events, and infants’ weight at 3 and 6 months. Data management and quality assurance Men are typically pierced with a 14-gauge needle, and women are typically pierced with a smaller 16-gauge needle. This can vary from person to person, though. Be sure to talk with your piercer about the right size for you. Chakrabarti K, Basu S. Management of flat or inverted nipples with simple rubber bands. Breastfeed Med. 2011;6(4):215–9. Nipple piercing is sometimes done to draw out inverted nipples. This is because jewelry worn in the piercing can help keep your nipple in an erect position. Pros: What usually looked just flat now fills out readily to the touch or with change in temperature. Initially after treatment, both nipples stay perky. No loss of sensitivity. Very simple to use.

I've been using this for a couple of weeks now and I'm very pleased. Based on research I'd say I have one Level 1 and one Level 2 inverted nipple. Both have responded very well to one to two 2-6 hour treatments (either sleeping or when at home) per day. I have a 9-5 job and sometimes am not at home so it's been inconsistent but for the most part, daily. Not everyone finds piercing effective. It’s important that you weigh your options before getting pierced. Talk to your doctor and potential piercer about the benefits and risks. There are two different types of surgeries: surgery that preserves the milk ducts and surgery that doesn’t. Surgery with partial preservation of milk ducts If you’re interested in getting your nipples pierced, do your research. You’ll want to be sure any piercer you choose has a license and experience piercing inverted nipples. Your best bet is to call piercing parlors in your area and let them know what you’re looking for. What’s the procedure like?Both the Hoffman technique and suction cups may be more successful for people with grade 1 or 2 inversion. Surgery can typically remove any grade of inversion. How to determine your grade of nipple inversion Breastfeeding confers several health benefits to infants and their mothers, including protection from infectious and chronic diseases, improved child cognition, development, and intelligence, and decreased risks of maternal depression and malignancies [ 1, 2, 3, 4, 5]. As such, breastfeeding is recommended as the exclusive nutrition for the first 6 months of the infant’s life, with continuation until 2 years complemented with solid foods [ 6, 7, 8]. However, women with inverted nipples often have difficulties in maintaining breastfeeding due to improper infant latching that my cause insufficient milk extraction and poor infant satiety, thus leading to early termination of breastfeeding. Congenital inversion of the nipple, the most common nipple deformity, is due to early developmental arrest [ 9], with an estimated prevalence of about 10% [ 10]. However, nipple inversion can also be acquired secondary to mastitis, macromastia, carcinoma, or breast reduction, or can be associated with congenital syndromes such as Robinow and MR/MCA syndromes [ 11]. Han and Hong categorized the severity of inverted nipple into three grades. In grade 1, the nipple is easily pulled out manually, maintains good projection, and has minimal fibrosis. Grade 2 includes the majority of inverted nipple cases in which the affected nipple can be pulled out manually but fails to maintain projection and has moderate fibrosis beneath it. Grade 3 constitutes the rarest type of inverted nipples, which cannot be pulled out manually due to severe fibrosis [ 12].

This procedure is more common. Women undergoing this procedure won’t be able to breastfeed because of the removal of the milk ducts. You shouldn’t experience a change in nipple sensation.At baseline, we will collect information on socio-demographics such as maternal age, parity, education, employment, family monthly income, previous breastfeeding, and longest duration of previous breastfeeding if present. Data on gestational age, mode of delivery, newborn’s gender, birth weight, APGAR score, and nursery admission status (regular vs intensive care), as well as grading of maternal nipple inversion will be recorded.

Eligible subjects are healthy pregnant women, at or above 18 years of age, with grades 1 or 2 inverted nipples. Inclusion criteria are gestation at 37 weeks or more, intention to breastfeed, and residing in Lebanon for 6 months after delivery. We will exclude women with grade 3 inverted nipples, previous breast surgery affecting the breast anatomy, high risk pregnancies, medical conditions that may interfere with breastfeeding, including a critical maternal condition, newborns with congenital malformations such as esophageal atresia, cleft lip, and/or palate, and women choosing artificial milk as their preferred infant nutrition. Women with term twin gestation will not be excluded. Recruiting process I got pregnant again and I didn't want to do this again, but I wanted my second baby to have breast milk too. HERE'S THE GOOD NEWS.... With my second baby, my baby was delivered and was breastfeeding within a minute! This is thanks to this product and Medela SoftShells(tm) for Inverted Nipples. The diary will be collected at 30 and 40 days during the participant’s postpartum visit to her obstetrician. We will also administer the Postpartum Quality of Life instrument, and collect data on the infant’s weight at month 1 from the infant’s health record. The eversion of the nipple will also be assessed by the research assistant during this visit.

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While still attached, the nipple and areola are both lifted from the breast and sewn into a protruding shape. Grade 2: This grade means it may be more difficult to pull out the nipple than a grade 1 inversion. When released, the nipple retracts inward.