Elastic nipples refer to a common anatomical variation where the nipple tissue stretches more significantly than average during breastfeeding or pumping. While all nipples have some elasticity to adapt to a baby’s mouth or a pump’s suction, with elastic nipples, this stretching is more pronounced, often extending deeply into a pump flange tunnel.
What Are Elastic Nipples
Elastic nipples are characterized by their soft, stretchy tissue that can lengthen considerably during stimulation. When pumping, the nipple might stretch all the way to the end of the pump flange tunnel. This excessive stretching can cause the nipple to change shape, becoming elongated or compressed against the sides of the tunnel.
Identifying elastic nipples often involves observing how the nipple behaves during pumping. If the nipple or a significant portion of the areola is pulled deeply into the flange tunnel, or if the nipple appears to swell and rub against the tunnel’s sides, it suggests elasticity. A sensation of pulling or a ripple effect when gently pressing on breast tissue can also indicate this variation.
Why Elastic Nipples Cause Issues
The significant stretching associated with elastic nipples can lead to several challenges during breastfeeding and pumping. One common issue is nipple pain and discomfort, often due to friction as the nipple rubs against the pump tunnel. This constant rubbing can result in chafing, blistering, or even bruising of the nipple tissue.
Beyond discomfort, elastic nipples can also affect milk transfer and output. When the nipple stretches too far, it can pull in too much of the areola into the pump flange, compressing milk ducts. This compression can impede the flow of milk, leading to reduced milk output despite the breasts feeling full. Over time, poor milk drainage can potentially impact milk supply, leading to issues like engorgement or blocked ducts.
Solutions for Elastic Nipples
Managing elastic nipples effectively involves several practical strategies, especially concerning pump flange sizing. Traditional flange sizing methods might not be sufficient, as an elastic nipple can swell to fill any flange tunnel. Experimenting with different flange sizes, including smaller sizes or using specialized inserts, can help. Silicone inserts, like Beaugen cushions, can reduce the flange size by about 2mm and provide a softer cushion, which may help hold the areola back and reduce friction. Some specialized flanges, such as Pumpin’ Pals or LacTeck BabyMotion Flanges, feature different shapes or materials that can accommodate stretching more effectively, often with a tapered funnel or a silicone design that mimics a baby’s suckle.
Nipple lubrication can significantly reduce friction and discomfort during pumping. Applying a small amount of a safe lubricant, such as coconut oil, olive oil, or even a few drops of breast milk, to the nipple and areola before pumping can help the nipple glide more smoothly within the flange. This can prevent rubbing and associated trauma, making the pumping session more comfortable.
Adjusting pump settings can also alleviate issues caused by elastic nipples. High suction levels can exacerbate stretching and discomfort. Instead, trying a lower, consistent suction strength may prevent excessive stretching and pain while still allowing for effective milk expression. Some pumps have specific settings that might work better for elastic nipples, such as a steady expression cycle with moderate vacuum levels.
Implementing specific pumping techniques can further enhance comfort and milk output. Hand expression before pumping can help initiate milk flow and lubricate the nipple. Using hands-on compression during pumping can also assist in fully draining the breast, especially if milk flow is slow due to duct compression. For personalized advice, consult a lactation consultant or healthcare provider. They can assess individual needs and provide guidance on flange fit, pump settings, and techniques.