Carol Chamblin <[log in to unmask]> writes:

I need references for a mom with whom I did a consult when the baby was 5 days old.  Mom has inverted nipples and hadn't ever gotten the baby onto the breast.  The baby had been supplemented since birth and refused to latch onto
the breast.  But, with a shield, baby latched with audible swallows and volume of intake was 46 cc's.  Not bad for a 5 day old!  Anyways, I'd tried to follow-up with the mom several times, but didn't get beyond her phone message.  Today, I got the mom on the phone and baby is 1 month old. Mom told
me she saw another LC who told her the shield would interfere with the baby's intake and decrease her milk supply, so to stop using it.  She went on to say the baby hasn't been able to take the breast since then.  She is strictly
pumping and feeding expressed breastmilk.  Can anyone provide me with the source that describes nipple shields interfering with baby's intake of milk and with milk volume?  I'm not familiar with these studies....
Carol Chamblin, RN, MS, IBCLC
Breast 'N Baby Lactation Services, Inc.
St. Charles, IL

There are numerous references out there regarding milk transfer with nipple shields.  The 2nd Edition of Riordan and Auerbach's Breastfeeding and Human Lactation has an entire section on nipple shields, including information to include an informed consent and responsibilities of Health care Professionals when a couplet is sent out with one.  Everything is referenced very well.  We pulled the references and used them to write our informed consent for patients.

Patti Gardner, MSN, CNM, IBCLC
United Medical Center
Cheyenne, WY

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