Hi Mary,
   
  I agree with you. I work at an institution that gives out shields like candy and I discourage the nurses to have a 1-2 day pp mom use them because of the inablity of the baby to feed properly with it. I have the mother instead pump every 2-3 hours and then finger feed with a SNS until her milk supply increases and the shield can be used then or work more with the latch. Unfortunately we do not have a policy for cup feedings so we do not feed babies with cups.
   
  Tamara Hawkins, NYC

Mary Herrington <[log in to unmask]> wrote:
  At the hospital where I work we have poster presentations for Nurse's Week.

Last night I saw a poster on the Nipple Shield. I cannot quote everything included in the poster but I was upset because it included incorrect info on the shield, and I could see no citations for any research that supported anything on her poster(or any references at all). I am also concerned as I feel strongly that the Nipple Shield should not be used AT ALL in hospital due to the fact that it can lower milk transfer and these newborns are getting small quantities of colostrum in these early days. I also believe that newborns should be learning how to breastfeed in these first 2-3 days- not learn how to Nipple Shield Feed!!

I strongly believe that just any RN should never give a mom a shield and that only an LC should give it at a last resort after observing feedings/attempts to latch etc.
Actually I must confess I believe they should never be used in the first 2-3 days of life.

I plan to do some research this myself and correct info presented to all of our nurses.

I wanted to get this question out there and appreciate any replies- personal email/post to group- whatever.

Do you think a Nipple Shield should be used at all in the first 2-3 days of life?

Mary Herrington,RN
Labor& Delivery
St Luke's CMC
The Woodlands, Texas




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