This device is availalbe in Canada, but has not yet been FDA approved in the USA. Therefore, LCs using it in the USA might face some nasty legal trouble if they chose to suggest it for clients. I do not know if this would be a problem anywhere else. Certainly, in Canada, it does not apply. We have at least one Canadian on LACTNET. Perhaps she can say whehter/how often this device is being used in her area? In US, I continue to recommend breast shells prenatally and nipple rolling. I am familiar with the study in Britain re: the (in)effectiveness of breast shells. However, I am still waiting (2 years later) for a reply to my questions about which shells were used and how they were introduced to the mothers. I have found that when I offer the mother some self-care suggestions, she tends to relax, even when the nipple changes may be minimal. Additionally, when she relaxes, it then is easier to help her get the baby on to the breast. If the baby is not given rubber teats first, they don't know that breast is supposed to "stick out" and they simply draw it into the mouth rather nicely all by themselves. Very often, over time, these mothers with "true" inversion [where nipple almost immediately goes into hiding after the baby lets go] find that continued suckling gradually corrects the problem or at least reduces its severity. Often by the second baby, there is minimal or no inversion. The key, I think, is letting the baby "do what comes naturally" without introducing interferences that alter the baby's expectation. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %% "We are all faced with a series of great %% %% opportunities brilliantly disguised as %% %% impossible situations" - definition of a %% %% lactation consulting service. %% %% Kathleen G. Auerbach, PhD, IBCLC %% %% [log in to unmask] Homewood, Illinois USA %% %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%