In a message dated 4/5/2006 8:02:59 AM Pacific Standard Time,  
[log in to unmask] writes:

base  giving a shield to a mom while still in the hospital on how far   
postpartum she is (>24 hrs), how soft her areola is and ability of  her  
nipples to 
be pulled into the shield, 


With regards to this...Do areolas need to be soft to  work with a shield?  I 
am working with a mom with very inverted  nipples, very leathery inflexible 
areola tissue and having trouble with any size  nipple shield staying put at 
all.There is no way it seems to draw the tissue  into the tip.  Baby balks like 
crazy and is totally frustrated as a result  till bottle appears. This woman is 
in tears from wanting so much to bfeed and I  am at a loss. Thanks, Ann
 
Ann  Conlon-Smith, IBCLC Triangle Lactation Consultants 
_www.trianglelactation.com_ (http://www.trianglelactation.com/) 


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