Dear Toni,
        I have seen mothers use a nipple shield for the entire duration of
breastfeeding. If the supply is great there is no problem. Years ago when
nipple shields were made of rubber, the milk transfer was not as great, nor
possibly was the stimulation to the breast through the thicker shield.
        I always encourage mothers to attempt to wean from the shield, but only in
a very relaxed way - i.e. let's get this baby off the shield if we can, but
if we can't it doesn't matter provided the baby is thriving.
        I have had no success with cutting away the shield.I usually suggest that
the mother try at least once a day - using some of the suggestions for
latching a breast refusal baby. I suggest the mother attempt to feed
without the shield at a time that she and the baby are relaxed. The baby
may be more cooperative halfway through the feed, or at a feed in the
middle of the night. At around 3-4 weeks of age I like to see them for a
day (I run a breastfeeding unit once/week 8-4.30) and endeavour to feed
without the shield over 2-3 consecutive feeds. I often have quite good
success at this time. Quite often the baby is capable of doing it, but the
mother lacks the confidence and the skill to attach him well. Feeding with
a shield - the mother often loses the skills needed or hasn't learnt them
in the first place.
        Good luck Toni,
Regards, Roslyn Draper RM IBCLC Melbourne, Australia [log in to unmask]