Do you think it is "better" to send a 
baby home nursing with a shield rather than sending a baby home not latching or nursing 
at all? 
Yes I do.  The mother is pumping and supplementing anyway, might as well let mom/baby practice positioning with some feeding at the breast too.  
I have heard Barbara W.C say at a conference that it is more important to fit baby's mouth than the size of the mother's nipple.  I use a lot of 20mm shields, a few 16mm and a few 24mm.
Susan in Minnesota, USA
rn ibclc


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