My one experience with an Avent nipple shield found a mother with the tips  
of her nipples eroded away bilaterally.  After much positional and  latching 
work, we finally discovered the cause--the inside of the shield, at the  very 
tip, had a raised X that wore into the nipple tissue when the nipple was  drawn 
down into the shield.  We immediately changed brands (and eventually  got the 
baby off the shield altogether).

Kathy Parkes, RN, IBCLC, RLC
The Lactation Connection Inc.
San Antonio, TX

Good  morning ladies,

A well meaning,misinformed grandmother brough a store  bought Avent nipple 
shield along to a consult . SIGH!  Have any of  you seen these? They are very 
small, it looks to be about the size of the  pacifier that has flanged edges 
side to side and only is about an 1 to 1  and 1/4 inch wide. I would be very 
afraid of aspiration, as they are  silicone soft and too smal IMHO. Thinking 
I should get in touch with the  consumer product safety commission, but am 
unsure if they check into  "potential hazards" or just those items that have 
caused real problems.  Anyone know?

Yet another product to supposedly "help" and yet can cause  great potential 
for harm in a  breastfeeding relationship, marketed  to a largely 
unsuspecting public.

LuAnn Smith RN, BSN,  IBCLC
Pennsylvania





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