Nipple Shields vs Breast Pads: Which Do You Need Postpartum?
By Pushchair Expert | Published: 2026-11-01
Category: Comparisons
Nipple shields help with latch and sore nipples, breast pads manage leaks. Compare MAM shields and Vital Baby pads to decide what belongs in your postpartum kit.
Quick answer
Nipple shields and breast pads solve different problems: shields help with latch and nipple comfort during feeding, while pads absorb leaks between feeds. Many parents need both, but if you must choose, start with the one that matches your main challenge.
They serve different jobs, not the same one
A nipple shield sits over the nipple during feeding to help baby latch or to protect sore skin. A breast pad sits inside your bra between feeds to absorb milk leaks. Using one won't replace the other, so think of them as feeding tool versus leak protection.
That means the right choice depends on whether your priority is feeding comfort or staying dry. If you're dealing with both, you can use shields during feeds and pads in between.
Sizing and fit decisions you can't skip
Nipple shields come in sizes, and the wrong fit can reduce effectiveness or cause discomfort. The MAM Breast Protector Nipple Shields Twin Pack & Case – Medium (Size 2 / 20mm) is one specific size; if you're unsure between size 1 and size 2, check the brand's sizing guidance or ask a lactation consultant. Breast pads are generally one-size, but pack size and absorbency matter for how often you change them.
For pads, consider whether you want disposable or reusable. The Vital Baby Ultra Comfort Breast Pads - 56 Pack is disposable and individually wrapped, which suits hospital bags or on-the-go changes. Reusable breast pads for nursing are a separate option if you prefer less waste, though they require washing.
Cost and convenience trade-offs
Disposable pads like the Vital Baby 56 pack offer convenience and hygiene with no laundry, but you'll repurchase regularly. Reusable pads have a higher upfront cost but can be washed and reused. Nipple shields are a one-off purchase per size, but you may need to try more than one size to get the right fit.
Neither product is a one-time buy for everyone: pads run out, and shields can wear or need replacing. Factor ongoing cost into your decision.
Key trade-offs at a glance
- Nipple shield: latch help vs. fit complexity: Shields can assist with latch and nipple comfort, but require correct sizing. The MAM shield is size 2 (20mm); size 1 vs size 2 is not interchangeable, so verify your size before buying. If you're between sizes, get fitted before relying on a shield.
- Breast pads: leak protection vs. ongoing cost: Disposable pads like the Vital Baby 56 pack are convenient and hygienic but need repurchasing. Reusable pads reduce waste but add laundry. Estimate how many pads you'll use daily to compare long-term cost.
- Using both together: Shields are for feeding; pads are for between feeds. You can use pads in your bra and shields during nursing without conflict. If you have both latch issues and leaks, buy both rather than choosing one.
Product facts
- MAM Breast Protector Nipple Shields Twin Pack & Case – Medium (Size 2 / 20mm): Made from SkinSoft silicone with a slim design for maximum skin contact. The slim profile aims to help baby feel and smell your skin, which may support latching.

MAM Breast Protector Nipple Shields Twin Pack & Case – Medium (Size 2 / 20mm) - Vital Baby Ultra Comfort Breast Pads - 56 Pack: Super absorbent core holds up to 20x its own weight; individually wrapped. High absorbency and individual wrapping make these practical for day/night use and changes away from home.

Vital Baby Ultra Comfort Breast Pads - 56 Pack
Who should choose which
Best for
- Parents struggling with latch or nipple soreness during feeds (choose nipple shields).
- Parents who leak between feeds and want discreet protection (choose breast pads).
Not for
- Those expecting a shield to stop leaks between feeds (use breast pads instead).
- Those expecting pads to fix latch problems (seek lactation support and consider shields).

