Hi Jan and all,
We call the nipple sucker an 'adapted syringe.'  Among ourselves, we call it
a 'nipple stretcher.'  Mothers do not seem to object to the term, adapted
syringe.

We generally suggest that a mother start using it after delivery.  I would
not want any hint of nipple stimulation suggested by us as the cause of
premature labor.  We suggest a mother use it about 5 mins./ hour or so.  She
may elect not to use it at a time that she will be using the pump.  She may
use it just before nursing.  We provide general guidelines;  the mother plays
with the adapted syringe and determines what works best for her.

A problem we have found is the occassional well-meaning nurse who will use
the device for the mother.  I try to make it clear that the mother is the
only one allowed to use it.  She is the only one who can determine the
appropriate amount of suction -- how much to stretch before any hint of
discomfort.

Hope this is helpful.

Pardee H. HInson, MPH, IBCLC
Charlotte, NC