Actually, breast shells were associated with lower breastfeeding rates 
in women who used them prenatally in the MAIN Collaborative group 
multicenter trial. The Nipplette has been found to help evert nipples if 
used between pregnancies in tests done by the devices' inventor, and 
supple cups have been helpful for women with flat or inverted nipples in 
my own practice when used from 37 weeks on, or postpartum before 
nursing. Julie Bouchet Horwitz (FNP, IBCLC) is working on a case series 
using the supple cups, but nothing is published yet, that I know of, 
other than the information in my book which it is against the Lactnet 
rules to mention.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com


On 4/26/2011 2:41 PM, Juel wrote:
> Hi,
> I am new to the list and would like some assistance in the theories behind
> using nipple shells for flat nipples before delivery.
> Is there any research on this?  Does wearing nipple shells at 37 weeks cause
> labor?  Are they effective?  Good practice to start??  If not at 37 weeks
> later??  Like 39 weeks?
>
> Is there any other therapy effective for flat nipples before delivery?
>
> Thanks for your help.
> Juel Radtke RN IBCLC
>
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