Winnie,

       Let me just add that I am tired of kits being sold as "one size fits
all".  I have come across too many moms who are definitely pumping with the
wrong breastshield.  To add insult to injury, they have seen or called other
LCs who NEVER bothered to ask about the breastshield size.  Also because
these moms have been using a smaller shield for TOO long a period, the tips
of their nipples develop a shape that appears like it will fit a regular
breast shield.  Often correct fit involves actually watching the nipple
expand in the pump.  Some nipples are surprising.  The coin measurements can
help over the phone, but whenever I have the opportunity--I make sure the
mom
has the correct shield on both sides.  As we all know, sometimes that means
a
different size shield on the left than the right!

       I have also often wished for a larger nipple shield.  There is a
serious need for them as well.  -- Debbie Albert, Ph.D., IBCLC

In a message dated 11/5/01 12:19:45 AM Eastern Standard Time,
[log in to unmask] writes:


>
> Date:    Mon, 5 Nov 2001 22:06:20 -0600
> From:    Jim & Winnie Mading <[log in to unmask]>
> Subject: Large size nipple shields
>
> Thanks to Dawn and Lorna for bringing this subject up.  I have long felt
> the need for such a product.  In fact, I rarely use the smaller
> ones-they don't accomodate very many moms' nipples!  However, I don't
> think anyone makes them yet, at least not in the thin silicone variety.
> I suspect what was seen at the conferences was the larger flanges for
> breast pumps (plastic like the regular ones, not the blown glass
> expensive style that used to be the only option for the mom with
> quarter-sized nipples).
> At one conference I was talking with the Medela rep and bemoaning the
> lack of larger shields.  The individual sounded interested (above and
> beyond the usual salesperson's "interest" in what a potential purchaser
> is saying).  Perhaps if enough of us who wish such a product were
> avvailable were to write, they might consider developing such an option.
>
> Winnie

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