Flat or inverted nipples

About 10% of first-time breastfeeding women have flat or inverted nipples, which is a consequence of insufficient elasticity of the muscle tissue that raises the nipple. It is impossible to assess how the nipple will function during breastfeeding based on its appearance alone.

The problem is the most pronounced in the phase of milk coming in, when the breast is swollen and the area around the nipple is swollen and tight. Fortunately, the problem is usually temporary; tissue elasticity improves, the baby gets stronger and the suckling technique improves.

Slika sa tri vrste bradavica: normalne, ravne i uvučene bradavice

Just before breastfeeding, pull out the nipples:

  • using a towel, rub the nipples a little "vigorously";
  • rub an ice cube on the area between the nipple and the areola in circular motions;
  • use a breast pump or niplette;
  • wear a bra with an opening for the nipple and areola.

A silicone nipple can help; it is important that the size matches the size of the nipple. 

Niplettes (nipple pullers using suction) can help some women. Care should be taken to avoid swelling or damage to the nipple. Children who are expected to have difficulties suckling (preterm, small or sick babies) are especially likely to have problems with flat nipples. In these cases, additional monitoring of the child's breastfeeding and progress is required, as well as an individual feeding plan.

Sometimes the nipples are extremely inverted and the breast anatomy makes it very difficult for the baby to suckle. If a child cannot be breastfed, it does not mean that he/she cannot be fed with breastmilk! Pumping and feeding breastmilk to the child will ensure all the benefits of natural nutrition.

Flat or inverted nipples are a common cause of early quitting and breastfeeding failure. If you have a problem, it is important to be persistent and seek professional assistance. In the beginning, the baby's weight needs to be checked more often to makes sure that breastfeeding is successful.