I know what Jane means about bottles and compression getting the milk out. I have had a lot of success with soft walled bottles (those with a bottle liner). If you push out some of the air, then when the baby compresses, the bottle liner expands and no or very little milk comes out. I also like the wider based soft nipples that aren't always obvious in baby's mouth.  I have had many babies learn to suck on these types of bottles. 

I also use a number of exercises detailed in Catherine Watson Genna's book Supporting Sucking Skills, and find that a combination of a soft walled bottle and these exercises are effective the majority of the time, unless there are other underlying problems such as tongue ties or cleft lip/palates.

In the end all of these are tools to help us help mothers find the feeding relationship that works for them. I have been known to work with many bottles in teaching a baby about what to do when breastfeeding, each new stage of the learning process sometimes calls for another tool. 

I also want to add that I am grateful for Lactnet, I keep current, my beliefs and knowledge are often challenged and I am a better lactation consultant because of it, so thank you to all who keep sharing their knowledge and making me think harder about what I do!

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome