Regarding the recent discussion of nipple shield use: There is a good 
article on the Medela.com site on nipple shield use which is authored by 
Barbara Wilson Clay. Here is the link:  
http://www.medela.com/NewFiles/faq/nipshield.html 
There are several good pictures and explanations for the Mom and also staff 
who may be taking care of the mom and are not familiar with shields.  I 
work at a small community hospital that had just a few over 1000 births 
last year.  At my facility, staff nurses are not allowed to give out 
shields and do not have access to them.  Moms must be evaluated by the 
IBCLC and she initiates the shield use.
Tille Phillips RN IBCLC
Summerville SC USA

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