Right on Kathy.  There is no artificial nipple which prevents nipple
confusion.  Because the babies are not confused, as it turns out.  If the
milk supply is abundant and the baby is getting good flow from the breast,
he may not care, though even then...  But if the baby gets slow flow from
the breast (the reason we are supplementing, usually), then gets rapid flow
from the bottle, whatever the nipple, most will figure that one out pretty
soon.

The rest is marketing only, and it's a shame that so many who can see
through the formula company marketing can't see through the nipple
manufacturer's marketing.  We have two hospitals here in Toronto where they
are back to bottles.  One group swears by the Medela nipple, the other by
the Avent.  I just swear, because I see their patients afterwards, the
babies refusing to breastfeed.

Jack Newman, MD, FRCPC

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