Dear Friends:
       Lots of comments on this; wonderful.
       What is truly needed is a clinical trial of safety and efficacy of
modifying a syringe versus a baby versus a pump to see what really works.
This clinical trial should include  a significantly significant sample and a
well-established consistent protocol and evaluation.
       Otherwise all this discussion is just that, discussion and 'what
worked for me' which is a necessary and valuable part of the research
process, and not enough to be taken as higher order evidence.
       I am reminded of the Alexander study (and the follow-up clinical
trial) that found prenatal nipple preparation (Hoffman exercises and/or
breast shields) to actually reduce breastfeeding initiation and duration.
       Warmly,


Nikki Lee RN, MSN, Mother of 2, IBCLC, CIMI, CCE, craniosacral therapy
Adjunct faculty, Union Institute and University, Maternal and Child Health:
Lactation Consulting
Supporting the WHO Code and the Mother Friendly Childbirth Initiative

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