Thank you for the collective input and resulting discussion on equipment and
it's use for inverted nipples.

In our practice, we use Medela products (I have no commercial interest in
this company), mainly because a full range is available locally and the
service is good. If we need something in a hurry, the delay is only a matter
of hours.

To order anything from outside the country is horrifically expensive. Our
rand/dollar exchange rate hovers between 7 - 8 ($1 = R7 - R8) and the
British Pound is even worse at over 11(1 pound = +R11). If  we send a bank
draft we need to add R50 onto the cost - so we tend to stick with local
suppliers. We really don't use many gadgets at all and it usually comes as a
request from the mother herself wanting to do something to help evert her
inverted nipples.

We have not come across resistance to the use of a cut-off 20 cc syringe as
a nipple puller and the idea of these is usually welcomed by other HCPs
because it does not cost a fortune and is readily available (except for the
effort of cutting the end off!!!!!).

 A mother with inverted nipples, who is having difficulty latching a baby,
seems to be encouraged if she actively does something to help draw the
nipple out.

Rose Gauld RN RM IBCLC in Cape Town, South Africa, enjoying helping her new
grandson to enjoy the bountiful supply of his mother's milk that is
abundantly available to him. Grateful, too, that no gadgets are needed.

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