>From: Ilene Fabisch <[log in to unmask]>
>Reply-To: Lactation Information and Discussion
><[log in to unmask]>
>To: [log in to unmask]
>Subject: Bottle nipple shields, ARRRGGGHH
>Date: Fri, 1 Nov 2002 05:54:15 -0500
>
>Has anyone seen/done this?  We apparently have a local visiting nurse
>telling clients that she is an LC and suggesting to them, if they have sore
>nipples or a baby not latching well that they try a bottle nipple over
>theirs!!!!!! (with no follow up by her!) Took me and the local hospital LC
>combined time of 29 days, huge commitment on the mothers part and weight
>loss on the baby's part,  to get the baby totally back to breast, but at
>least we did.  Now we have a new client that just got the same info from
>the
>helpful visiting nurse.  Does anyone know why she may be recommending this?
>Has their been a recent article somewhere that mentions this as a perfectly
>okay option?  Are both the hospital LC and myself missing something?  This
>is being used as a first line of defense.  The hospital LC was also accused
>by her RN, IBCLC staffer of not being up-to-date on sheild use, so that is
>why she called me.  (I did share with her the JHL articles on rethinking
>and
>use in premies.  But I don't think that was the issue.)
>Note: I'm not reffering to nipple shields, these are regular bottle
>nipples.
>
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Gee, where are you from...... as I recently had this same experience in May
I think, as we had an LPN instructor (with midwife credentials) who told our
staff and her students, while I was not  working, they used them at her
"hospital" with great success. Unfortunatley she has not been back to our
hospital since, and I never got to ask her where she practiced and what
follow-up was provided.....I can only guess! Talk about evidence-based
practice....gee whiz!

Luann Smith
York, PA - where fall is blustery and cold today - Great night for a
football game!


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