Hi Carol,
The Pediatric Clinics of North America, April 2001 Part 2, has a excellent
chapter written by Paula Meier. Paula very clearly addresses this issue and
felt that "nipple shields increased milk transfer by compensating for weak
intraoral suction pressure that would otherwise limit milk intake". The
chapter is called Breastfeeding in the special care nursery.
Hope that helps.
Warmth,
Star Siegfried RN,BA,IBCLC, RLC
>Date: Wed, 26 Mar 2003 00:18:13 EST
>From: Carol Chamblin <[log in to unmask]>
>Subject: Re: Nipple Shields
>
>I need references for a mom with whom I did a consult when the baby was 5
>days old. Mom has inverted nipples and hadn't ever gotten the baby onto the
>breast. The baby had been supplemented since birth and refused to latch onto
>the breast. But, with a shield, baby latched with audible swallows and
>volume of intake was 46 cc's. Not bad for a 5 day old! Anyways, I'd tried
>to follow-up with the mom several times, but didn't get beyond her phone
>message. Today, I got the mom on the phone and baby is 1 month old. Mom told
>me she saw another LC who told her the shield would interfere with the baby's
>intake and decrease her milk supply, so to stop using it. She went on to say
>the baby hasn't been able to take the breast since then. She is strictly
>pumping and feeding expressed breastmilk. Can anyone provide me with the
>source that describes nipple shields interfering with baby's intake of milk
>and with milk volume? I'm not familiar with these studies....
>Carol Chamblin, RN, MS, IBCLC
>Breast 'N Baby Lactation Services, Inc.
>St. Charles, IL
>
>
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