Quick answer
Elvie Nipple Cushions improve fit and comfort when your nipple is smaller than the standard 21 mm Breast Shield. They sit inside the 24 mm shield to create a better seal and more efficient pumping.
Why fit matters for pumping comfort
A properly fitted breast shield is key to comfortable, efficient pumping. If the tunnel is too wide, the nipple may rub against the sides, causing friction and discomfort. Too narrow, and milk flow can be restricted. Elvie Nipple Cushions solve the first problem by reducing the internal diameter of the 24 mm shield to 15 mm, 17 mm, or 19 mm.
When to use cushions vs. when to skip them
Use cushions when your nipple measures smaller than 21 mm across and you are using the 24 mm Breast Shield. They are not needed if your nipple already fits snugly inside a 21 mm or 24 mm shield without extra space. The cushions add a soft silicone layer that can also help if you experience sensitivity or irritation during pumping.
Frequently asked questions
How do I know which size cushion to use?
Measure your nipple diameter before pumping (not after). The cushion should be slightly smaller than your nipple so it creates a gentle grip. If you are between sizes, try the larger one first to avoid compression.
How do I insert the cushion into the breast shield?
Place the cushion into the 24 mm Breast Shield so the flat rim sits flush against the inner flange. Push it gently until it clicks into place. The cushion should not wobble or shift.
Can I reuse the cushions?
Yes. Rinse after each use with warm water and mild soap, then air dry completely. Replace them when they lose shape or show signs of wear, usually after a few weeks of regular use. Check the cushion for tears or deformation before each session.
Will the cushion affect milk flow?
No, the cushion does not block the milk path. It only lines the tunnel. Milk still flows through the center and into the bottle as usual.
Do I need a different shield size when using cushions?
No. The cushions are designed specifically for the 24 mm Breast Shield. You do not need to buy a separate shield.
Product facts
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Elvie Nipple Cushions (2 pack): Soft-silicone nipple cushions available in 15 mm, 17 mm, and 19 mm sizes. Designed for use inside the 24 mm Breast Shield. Choosing the correct size reduces nipple friction and helps maintain a consistent seal, which can improve milk output and comfort.
Elvie Nipple Cushions (2 pack)



