I don't want to beat a horse to death here with continuing on the discussion
of nipple shields, but I can't get over some of the thoughts out there about
them.  Now, I'm not talking so much about whether to use them or not, but
about the comments like:  "I never use a 24mm shield as I have never seen a
baby transfer milk well with that size", or the converse: " I never use the
16mm shield, as babies can't seem to transfer the milk well with that size".
The shield size that is needed is totally based on the size of moms nipple.
I have had a few moms require the 16mm one.  Their nipples are smaller than
my pinky.  And you can't put a 20mm shield on a nipple that is the size of
your thurmb!  So. I am really confused to those statements!  . When I check
moms fit, I see which one allows the right amount of tissue in it.  Which
one does the nipple elongate in the best?  The flat nipples often have to be
pinched up a bit (or pumped first) to see what size the nipple is.  I have
found that most moms are able to get off them at the 2 week check up.  (some
sooner, some later, some never)  Just felt the need to add my .02 worth.

 

Linda Hill RN, IBCLC

Capital Pediatric Group

Austin, TX


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