The absence of randomization and double-blinding between groups is a limitation of the study since the conformation and mode of use of the breast shell prevent the creation of matching placebo. Both the outer shell and inner membrane are dishwasher-safe, so you can also use this method of cleaning, or you could use a microwave bag.

There are very few studies conducting the use of breast shells for treatment and none evaluating its use for prevention of nipple pain and injury. Because LilyPadz are made of thin, soft, flexible and breathable silicone they are like a second skin. Some may have small irregularities, which makes their authenticity (they should not be embarrassing). Mother of pearl lined shells feel cool and soft on breastfeeding nipples, providing immediate relief. The onset of breast complications during breastfeeding, such as breast engorgement, mastitis, nipple swelling, especially pain and nipple injury, can contribute to early weaning [ 1], which deprives the lactating mother and newborn of the numerous and extensively described short- and long-term health benefits of breastfeeding [ [2], [3], [4]].The breast shell is a plastic device with one part that fits over the nipple and an outer shell with ventilation holes. Read more about the condition New: A brand-new, unused, unopened and undamaged item in original retail packaging (where packaging is applicable). Thus, the dynamics of use can undergo daily adaptations according to the needs and routine of each lactating woman. Although LilyPadz should not cause you to perspire, if you work up a sweat you will perspire under your LilyPadz as well.

If you get sore nipples when breastfeeding, it's usually because your baby is not positioned and attached properly at the breast. One week after the first meeting, health education was reinforced by telephone, with a mean duration of 5–10 min for both groups. These ae also great for sore/cracked nipples as they protect them from rubbing on breast pads and bras when they are trying to heal.

The rigid outer section separates the nipple from the bra and clothing and leaves open a space which can collect milk.

However, you don’t need to worry about Medela breast shells showing through your clothes, as their low-profile shape ensures a natural look. Please contact us directly if there is any problem with our products and we shall be pleased to assist you in every way we can to solve your problems. The use of breast shells was not harmful to pregnant women in the last trimester when respected the right recommendations of use, such as adequate hygiene of the device, and to avoid using the breast shells during sleep, or in the presence of breast engorgement, once in these cases the excess of pressure by the device could cause local edema. Because there is no such thing as "one size fits all" when it comes to breasts, please check our sizing guide.To minimize potential bias, the following precautions have been taken, (1) selection bias: participants were recruited initially to the CG and subsequently to the EG, preventing “contamination” of one group with another; (2) confounding bias: the health education protocol and data collection questionnaires were reviewed for experts to reduce the confounders, and data analysis was conducted with statistical stratification; (3) loss of follow up bias: a reinforcement of the orientations were made by telephone contact to avoid forgetfulness and discontinuity; (4) compliance with the intervention components: based on the instructions provided, participants are expected to have performed the necessary procedures.