If the nipple protrudes easily while pinching, the nipple should not require any preparation for breastfeeding. If the nipple appears to be inverted but protrudes during the test, no prenatal preparation is necessary. If the nipple appears to protrude but goes back in when pinched, it is inverted and will benefit from prenatal treatment. If the nipple appears inverted and remains inverted during compression, prenatal treatment is indicated. Occasionally the nipple will appear to be flat or only slightly inverted and responds to stimulation as an inverted nipple.
Prenatal treatment is recommended.
The use of breast shells is often suggested for inverted nipples. The shells are worn in the bra and apply gentle pressure around the base of the nipple to stretch the adhesions. Initially, the shells are worn for one hour a day, gradually increasing their use until they are worn throughout the waking hours. They are not worn during sleep. If a woman has had any type of breast surgery, it is important to discuss it with her doctor or midwife during her pregnancy.