However, the best practice in terms of using nipple shields for breastfeeding is - consult a lactation first and follow his / her guideline to make sure you are on the right track. (welcomeparenthood.com)
And so the pumping continued, on top of the night feedings, formula supplementation, and nursing with nipple shields. (twiniversity.com)
Possible problems associated with the use of nipples shields include a drop in the mother's milk supply and insufficient transfer of milk to the baby. (motherandchildhealth.com)