Jean C. mentioned that the mom with the large diameter nipples who
was having some trouble with pumping might need to use a shield
briefly when baby can handle the breast.  However, I can't help but
wonder how the large diameter nipples will work in the standard size
shield.  I have found that they are very uncomfortable for moms with
large nipples.  If the entire nipple can't fit in the shield, how
can baby effectively compress the milk sinuses?  I have the same
question in using the small size shields for premies even when mom
has average or larger nipples.  If a larger pump flange is needed to
effectively and comfortably pump, wouldn't the same apply to a
shield?  Is there something I'm missing here?
Winnie RNC, IBCLC

             ***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html