Funnily enough, I am in the middle of a writing assignment for the 
day job, re-writing a breastpump/breastfeeding accessories 
manufacturer's website copy. Even without the re-writing, the 
manufacturer recommends nipple shields to be used under professional 
guidance only. Maybe this would help you write a protocol - if a 
mother  is using a shield, the professional should be around to 
oversee it, and to oversee the baby coming off it, too.  This is the 
guidance in Woolridge's Enabling Women to Breastfeed, if you want a 
reference.

>
>
>Also any opinions/references about the idea of stuffing the shield with a
>
>small piece of cotton material as a way of reducing flow and weaning baby
>
>off the shield? (Can not remember where i read this one!)


That sounds very risky to me - it's  not what the things are designed 
to do, and a baby might conceivably draw out enough cotton threads to 
choke.

Heather Welford Neil
NCT bfc, tutor, UK

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