Thank you alle for sending me all the references and lists. I will make a short list, for our bf counsellors. It is intended only to catch all dangerous situations. Once in a while pour counsellors suspect speaking with a mother with a baby in danger, but I wonder if we might miss some. It will be difficult to compile such a short list that will not miss any. Remeber, we do not see them, but only talk to the mothers by phone. Our experiences is dat the two most important questions: stools and urine output, aren't allways be answered clear by the mothers. So I'll have to add a few more questions. In all the literature I read so far I do not see mentioned the nipple shield as risky attribute. I guess this is because all the literature is from the US. However, in my country, nipple shields are heavily used and misused, and are definitly identified as risk attributes of inadequate milk intake. Nipple shields can be bought everywhere. The cases of underfeeding that are described in the Dutch medical literature all mention nipple shields were used. Nipple shields are often introduced by the maternity nurses who come of the housed for 7 days after delivery. The common scenario is as follows: baby is reluctant to nurse, cannot 'get' the breast. At the 3/4th day the mother is heavily engorged and the breast is even more difficult to grasp. Here the nurse introduces the nipple shield. The attachment problem is now 'solved', everyone is happy. This is a potential dangerous situation. Sometimes everything goes well despite the nipple shield (as happened to me, 11 years ago), sometimes the baby becomes a very slow weigth gainer or even looses weigth. For this reason i'll add the nippel shield to the red flag list. regards, Annelies Bon Lay counsellor of the Dutch bf organization "Borstvoeding Natuurlijk" *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html