Dear Lactnuts,
    Every time a nipple shield is given, is it "automatic" and our
standard of care that the mother must also be using an electric pump?
Does it depend on the mother?  If she is 4 days post op and milk has come
in and is visible in the shield while baby is feeding, is pumping still
necessary?  We are trying to write a policy on nipple shield use soon.
   I know of a mom or two, who when given a shield and electric pump at
the same time, said she would just bottle feed then, as it seemed
overwhelming to her.  Any comments on this?  Thanks.
     Susan Potts  rn ibclc
     Minnesota

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