I'm a little behind on reading my digests, so someone may have
already made this observation.  If so, please forgive the
repitition.
When a mom uses the shells to bring out flat or inverted nipples,
the hole has to stay centered over the nipple if it has any chance
of making a difference.  However, the more a mom "needs" the shells
for this supposed purpose, the less likely they are to stay "on
target".  Unless she somehow glues them to her breast (ouch!), they
tend to shift in the bra.  She may wind up with the plastic pressing
on the nipple instead of the hole.  If I see nipples prenatally that
I think might offer a challenge to baby, I suggest she do some
gentle rolling and pulling on the nipple, use an adapted syringe (I
find 20cc works for most) or the Evert-it (tm).  I have some staff
nurses who still keep asking for shells for a mom even though I've
explained over and over why they aren't that helpful.  To quote
Jack, -ARRGGHH
Winnie Mading RNC, IBCLC

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