If the baby takes a full feeding in a reasonable time with a nipple
shield, I do not have the mom "insurance pump".  If the shield prevents
the baby from being fully effective at breast, I do recommend pumping
and giving the extra milk.  If the baby does not move much milk with the
shield, I do not leave it with the mother.

This informal policy developed as mothers who were advised to insurance
pump had months of plugged ducts, etc from oversupply...
Catherine Watson Genna, BS, IBCLC  NYC

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