another post for Esther:

In a message dated 3/27/2003 1:00:59 PM Eastern Standard Time, Kathy Leeper
cites several including:

> In my experience/setting the most common reason I see for nipple shield
> "failure", is that the baby has an ineffective suck (no milk removal),
> so a shield is placed over the nipple, and the baby continues to (pick
> one) continue "chomping" on the tip only, or tongue-thrust against it,
> or simply suckle at the nipple only

in a hospital with >10,600 births a year, way too many times in early
postpartum we have dyads with mutliple problems, ie; premie, or FT baby with
disorganized suck as described above, and/or oral anatomy variations AND mom
with significant nipple anatomy variations.

Debbie Tobin
RN BSN IBCLC LCCE
Springfield, Virginia USA
In the Fairfax County suburbs outside the Washington DC beltway

<A HREF="www.BestBreastfeeding.Info">www.BestBreastfeeding.Info</A>



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