Nikki, you wrote: "Not all bottle nipples collapse, especially when  they are
brand new."
I have never seen a bottle nipple that did not compress when pressure was
applied.  Maybe some are firmer and do not collapse as easily as others but they
all collapse when negative pressure is applied.  The finger never collapses.
I think you bring up some very good thoughts about the need for research on
alternative feeding methods but here is the problem.  The health care society,
at least in the USA, is a bottle feeding society.  This is not based on sound
research and we all know there are significant issues with bottle feeding.
If a LC is not comfortable with some alternative feeding devises then they
should not try to use them until they are comfortable and therefore should seek
some help from others who can assist them with the problem.
I also feel that any time an alternative feeding method is needed that this
mother and baby should be closely followed to monitor their progress with this
method, are they able to be weaned from this devise and get to the breast, or
do they need to be seen by another specialist.
I would encourage all LC's to attend conferences or workshops to learn
techniques before applying them in their practices.
Ann Perry, RN IBCLC
Boston, MA


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