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Date: | Tue, 4 Apr 2006 20:34:07 -0600 |
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First I would say, never say never.
Second I would say, in a perfect world moms would be getting excellent,
experienced breastfeeding help round the clock, and babies would never
be sent home before they can effectively breastfeed.. In the real world
an LC is there usually during daytime hours, and a lot can happen the
rest of the time. I think each mom/baby should be assessed individually
and I can think of situations where a nipple shield might be
appropriate earlier than the time frame of day 2-3. I would be hesitant
to use one in the first 24 hours. But lots of our moms go home before
day 3 and if I think a nipple shield is going to get a baby to feed,
and avoid formula, I'm probably going to use one. I tell the nurses
where I work - if it's a choice between formula and a nipple shield,
definitely the nipple shield.
My biggest frustration with nipple shields is improper teaching on how
to use them and the need for looking and listening for milk transfer,
and to pump to ensure adequate stimulation.
Andrea Tran RN, IBCLC
Erie/Boulder, Colorado
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