With flat nipples do i use them with the breast pump?

You wouldn’t need to if you are exclusively pumping bc this just helps errect the nipples for the baby to get a good latch.

What is the difference btw breastshells &breastshield? i asked my ob if i can use the shells before baby's arrival. but she said never heard of shells

Breastshells are shell like objects that go over the nipple to help air the nipples out between feedings, helps heal bleeding/cracked nipples. They can help inverted/flat nipples pushing them out to help baby latch.Breastshields however are shields you put on the nipple while feeding baby, helps with sensitive nipples and latching among other things.Summary: shells are for in between feedings, shields are for during feeding.

For flat nipples will I have to wear this all the time between feedings or will it eventually correct my nipples so I don't have to wear them anymore?

This product is designed to soothe sore nipples and protect from further irritation. As every case is different it is difficult to say how long they would be worn. As your situation progresses and you gain relief from this product you may find you will be wearing them less and less.

What is the difference between the TheraShells and the Soft Shells both made by Medela. I can't tell by the descriptions.

Medela SoftShells consist of both hard plastic (the outer, dome-shape that has holes in it) and a silicone-like "superior comfort with soft, flexible" backs. SoftShells come as two different packages: one for sore nipples (the one that looks like a skinnier "ring", but is referred to as the wider openining) and one for inverted or flat nipples (the one that looks thicker, is more material). The dome-shaped part that makes contact with the bra is the same in both packages, and according to the instruction booklet, you can buy the backs of the other set to fit the one you purchase. I'll list the Medela parts information for the SoftShells below (I have it out, so why not!?). Not sure if the TheraShells come with them, but the SoftShells come with foam u-shaped pieces that can be placed in the bottom of the dome to soak up any spilled milk.SoftShells Domes (each) 810.0234Sore Nipple Backs (each) 820.0022Inverted Nipple Backs (each). 820.0021Foam Inserts (4 per package). 850.7002Inverted Nipple Kit is 80220, 80220S (sterile) US, or 20220 in Canada.Sore Nipple Kit is 80210 and 80210S (sterile) US, or 20210 in Canada.

Product Dimensions	4.92 x 1.57 x 2.36 inches
Item model number	89930
Is Discontinued By Manufacturer	No
Safety warning	Consult lactation consultant before purchase. Follow instructions provided by the manufacturer.
Material Type	BPA Free, Phthalate Free, Latex Free, Lead Free
Material Composition	Plastic
Material free	BPA Free
Number Of Items	1
Best uses	Breastcare - for sore/engorged and flat/inverted nipples during breast feeding stage
Batteries required	No
Item Weight	1.76 ounces
Country/Region of origin	USA

Medela TheraShells Breast Shells, Protect Sore, Flat, or Inverted Nipples While Pumping or Breastfeeding, Natural Appearance and Exceptional Comfort, Made Without BPA

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