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Fri, 30 Sep 2016 09:13:30 -0400 |
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Laurie Wheeler wrote:
<<I was reading Medela's nipple shield handout. It says "choose a nipple
shield that is the correct size for the baby's mouth."
Long ago, many years ago on lactnet, I think we had a discussion on this.
Some consultants size for the baby's mouth, some size for the nipple. It
makes more sense to me to size for the nipple. I know many mothers try
various sizes, and sometimes LCs try various sizes.>>
I think you need to size to the mom's nipple. What good does it do if the
shield is too small, the milk ducts in the nipple and just beyond the
nipple are compressed and no milk can be released? I know of one mom who
bought a shield at Target, getting the smallest size because her baby was a
newborn. Came into the clinic not gaining -- baby transferred about 6 ml with
that shield. Put a larger shield on, and the baby was able to transfer
about 1.5 ounces with the larger shield. Fortunately mom had been doing some
insurance pumping so her milk supply was good.
Jan Barger, RN, MA, IBCLC, FILCA
Wheaton IL
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