This was a common practice at my inner city hospital in St. Paul until the early 80s. What stopped the practice cold turkey was an article about a baby having a choking incident in another state with this practice. To my knowledge, the best reason to avoid rigging up a pacifier with a bottle nipple and cotton ball is the choking hazard. For this reason I would also avoid a bottle nipple on the breast as a nipple shield. Sincerely, Susan in Minn. rn ibclc *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html