Hello!

I am an IBCLC as of 2011 and am still learning so much! I gave a staff education course about breastfeeding and have been challenged regarding not using nipple shields until after lactogenesis II. In my notes, due to colostrum's small amount and high viscosity, it is difficult for milk transfer thru the nipple shield. I was given the burden of providing evidence of this. It is mentioned in health e-learning courses that I have taken but I can not find "evidence" or research studies specifically about waiting until mom's milk comes in to use nipple shields. 

Any thoughts?

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