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Subject:
From:
Susan Burger <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 12 Apr 2006 09:42:56 -0400
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Dear all:

I find huge differences in milk transfer depending on the size and how the nipple shield is placed.  
For some breasts, particularly the really elastic breasts that babies have difficulty grasping, it really 
helps to invert the shield to slightly longer than moms resting nipple so that it pulls more  tissue 
inside when you smooth down the sides.  I find that babies typically have an easier time getting their 
lower lip deeper into the areola when you do this for very elastic breasts.  And I have measured 
better milk transfer when they can get their bottom lip into the areola rather than nipple sucking on 
the nipple shield.  Usually when they resort to nipple sucking with a shield, I don't use it because 
neither mom nor baby learn how to latch in a way that helps the baby get milk.  

Of course now, I'm going to start paying as much attention to what the nipple looks like after the 
feeding as I do when I watch women pumping to see what happens with various size breast shields.  
I'm sure there are variations in how the nipple expands within the shield once the baby is feeding.

Best, Susan Burger

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