Nipple confusion: Yes, no, maybe?

Time-frame: 60-75 minutes
CERP: yes

Ambiguity exists regarding the term “nipple confusion.” Various definitions have been put forth to describe an infant’s difficulty with latching or feeding at breast following exposure to artificial nipples. Conflicting recommendations may further cloud the topic, as the World Health Organization recommends that no artificial nipples be given to neonates while the American Academy of Pediatrics recommends the use of pacifiers as a method to prevent sudden infant death. Sucking at the breast requires a different mouth conformation than does sucking on an artificial nipple. Once exposed to an artificial nipple, some neonates experience a preference for the artificial nipple, refusing the breast or demonstrating difficulty in attachment to the maternal breast. This presentation will explore definitions and evidence for and against this phenomenon, discuss whether nipple confusion is a cause or result of breastfeeding difficulties, examine the differences between the properties of the human nipple/areola and the artificial nipple, discuss the concept of imprinting, and strategize interventions that may provide remedies for infants with latching and feeding difficulties following expose to artificial nipples.



Marsha Walker RN, IBCLC


Country: USA
Phone number: 781-893-3553
Email: Marshalact@gmail.com
Download CV

Publications

Breastfeeding Management for the Clinician: Using the Evidence, 5th edition

Breastfeeding Management for the Clinician: Using the Evidence is the perfect tool for busy clinicians who need a quick, accurate, and current reference. It provides the essentials of breastfeeding management to support best outcomes for breastfeeding families. Now in an updated and modernized fifth edition, this unique resource features new information on the political and social landscape of breastfeeding, LGBTQI+ families, milk sharing, exclusive pumping, new breastfeeding products, breastfeeding in emergencies, additional feeding care plans, and access to downloadable Patient Care Plan Handouts to help both patients and clinicians navigate common breastfeeding challenges and questions. Breastfeeding Management for the Clinician: Using the Evidence, Fifth Edition includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge and a problem-solving approach, this reference helps busy clinicians integrate the latest research into their everyday clinical practice.