Lavinia wrote:
"In the very few instances in which artificial nipples cannot be
avoided, why
is it that it is better to use the big round ones and not the
anatomical?  I
think I read about this in lactnet once, but can't remember the
exact case."

If by "big round ones" is meant Avent or Munchkin, they do encourage
baby to open the mouth wider/flange the lips more than the most
common artificial nipple which baby uses with a "prissy" mouth.  If
by "anatomical" is meant the Nuk or orthodontic, I personally
discourage their use.  When I see a mom whose nipples have that
shape after baby lets go, I know the baby is doing something "funky"
with the tongue.  By using that shape nipple, I think we add
teaching baby ineffective tongue positions to all the other reasons
we want to avoid artificial nipples.
Winnie Mading IBCLC

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