<<Regina, just maybe the hosp
        environment and staff were pretty much bf unfriendly (not always
        intentional) and with a skilled Lc the baby would have latched in
hosp.
        Maybe these babes got bottles in nsy or had long separation from
mom. Maybe
        in this case the shield was used "like candy" and not becoz of some
latch
defying problem>>

Certainly.

        << Yes, here again she didn't get
that in hosp I assume. SO MUCH IS MESSED UP IN THE HOSP. sigh>>

I'm in serious peril here of just writing a post that agrees with you <bg>.

<<So followup may not be ideal. >>

Well, I do think that if there's any doubt at the time the shield is issued
as to whether follow up will be able to occur, then its best not to issue
the nipple shield in the first place.  IMO they MUST be followed-up, or at
the least the mom should go home with a good referral in her hand, with
instruction to obtain follow up from another LC in the community..

        <<I will say that all moms who need
any bf aids in our hosp are flagged high risk and followed as outpatients.>>

:::sigh:::: I wish I were finding that to be the case in Miami.

        <<I feel this discussion is most productive and I appreciate all the
different
        viewpoints that have been offered. Still learning and ever humbled
by the
great ones of lactnet>>

Same here!
Regina Roig Lane, BS IBCLC for Miami-Dade County WIC

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