I was wondering how you all determine what size nipple shield to use? I have not had any shields at all to use at the hospital where I work, but have used them occasionally in the past at other facilities. Soon we are going to be carrying Medela products and we will have access to shields. I have heard it discussed that the baby's mouth should be the determining factor in choosing a size, and I have heard it discussed that the mother's nipple size should determine what size to use (stating a large nipple cannot fit inside a small shield). What criteria do all of you use? Do you actually measure or do you just *eyeball* it and guesstimate? Also choosing a pump flange (I believe Medela carries a 24mm, 27mm, and 30mm size opening), do you carry a tape measure and measure the nipple? Thank you, Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ MSN 8 with e-mail virus protection service: 2 months FREE* http://join.msn.com/?page=features/virus *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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