With all due respect... 

                a) is 18 participants enough for significance?
                                          
                                        and

                b) these mother's were bf without a problem and an impediment was introduce and they had a reduction in milk transfer... 

   .... I believe that it is very different when we are working with a mother and breastfeeding is not going well, for one of many reason we use a shield and things improve... 

        those of us who do pre and post weights have seen that this intervention, used appropriately, can actually increase milk transfer. 

warmly, 

   Patricia


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