I bet you're not pleased!!

I don't have experience or references for using these and would feel the
same way as you i'm sure - but one question? why 'orthodontic' nipples? - I
could #perhaps??# see a case for nipples but certainly not orthodontic ones
- these have certainly had peer reviews and studies (sorry don't have the
refs to hand, but will find them if you want me to email privately), that
these are 'more' detrimental in general that 'normal' ones - the theory that
at least a babe can 'cup' a normal nipple and have a vagualey similar
tongue/mouth shape, but and orthodontic one just doesn't allow that.
Orthodontic ones are 'supposed' to mimic that chape of a mothers nipple in
the babes mouth - well 'we' know if a real nipple came out of a babies mouth
'that' shape the attachment would be wrong.

Sorry - bad enough having a nipple in the first place without using these
that in my opinion have been proved to be much worse. - rant over!!

Pam Lacey
ABM(UK) BFC

>Last week, unbeknownst to me a patient was given an orthodontic nipple to
>try as a
>shield by a nursing instructor (at that time) who works as a midwife
>elswhere, and says
>they use them "all the time" with great results. I was not able to make
>contact that day with
>this brand new person to our hospital (it was her first clinical day as an
>ADN instructor!
>It is probably just as well as I was fairly ballistic after the subsequent
>contact I had with the
>patient involved. She was determined to use it since it worked so much
>better than the shield.
>What to do about it - will be taken care of - I shall "seek first to
>understand" now that my
>temper has cooled, and plan to approach her this week.
>
>My question is " is any professional IBCLC or even non IBCLC's recommending
>or using these
>EVER? Certainly , I know of no evidence-based research that states they are
>suitable for use,
>only the research that exists on shields. Since the patient was determined
>to use this despite
>my reservations, everything was clearly documented on the patient record.
>She did have a pump in style at home and agreed to pump hindmilk.
>Unfortunately, my
>relationship to the patient was completely compromised  because of this
>instructors actions and
>the patient refused LC followup, except with her MD, who is not particulary
>supportive of breastfeeding mothers.
>
>How about it  anyone...care to comment?
>


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