Kathleen I don't know the bf climate at your facility, but since you said they are going towards BFHI then you must be in a pretty good climate. Therefore, based on what you said about concerns, and that you rarely use the reverse syringe, I suggest that you abandon its use. I guess this is not what you are really asking for but I think it would move you forward faster. If you haven't used it much, do try reverse pressure softening, an excellent technique that really works. You must apply the reverse pressure for more than just a few seconds. It really helps make the nipple/areolar complex much more latchable. You can also use a pump or good ole hand expression to help evert a nipple. One of the biggest reasons, I feel, that babies have trouble latching are the barriers in place at non-BFHI facilities. I think you will have even less need for such devices once you have the 10 steps in place. For example, delayed first feeding, maternal infant separation, and artificial nipples are huge barriers. Good luck in your journey to BFHI. I truly envy you. Warmly, Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html