Carol asks:
"Can anyone provide me with the
source that describes nipple shields interfering with baby's intake
of milk
and with milk volume?  I'm not familiar with these studies...."

As I recall, there was one that said a baby gets 20% less through a
thin silicone shield that it would nursing directly.  So we
certainly want to use them with much discretion.  However, as has
been said many times on LN, there are times when they can be
helpful.. In addition, some babies seem to do just fine getting
enough with a shield while others don't keep the supply us as well.
I think in terms of "80% of something is better than 100% of
nothing" when considering whether a shield is appropriate in a given
situation.

It is unfortunate that the second LC seemed to have a rigid approach
(if what the mother reports is consistent with what she actually
said).  I think we need to be as diplomatic as possible when
disagreeing with a colleague.  There's a big difference between
"That's totally wrong, don't do it." and "That approach works in
some situations.  There can be some drawbacks, however.  If it isn't
meeting the needs of you and your baby you might want to
try....................."

Winnie

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