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Fri, 15 Jul 2005 21:22:04 EDT |
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Koren, I am just catching up with my mail so you may hear from others before
mine.
I understand your frustration but shields do have a place and can be the
tool that keeps a dyad breastfeeding who might otherwise given up or only pumped
and bottle fed.
My rule of thumb is; no mother should receive and use a shield until she is
at least 24 hours postpartum. This gives the baby opportunity to lick, feel
and possibly latch to mom's natural nipple. I encourage moms to express
their colostrum to give to their newborn be it by dripping onto the baby's mouth
or the baby licking it off. Colostrum in the first day is too difficult to
come through the shield.
Long term use of a shield is not necessarily a bad thing. Some dyads take a
long time to wean and some never wean off the shield.
I do not recommend pumping while a mother uses a shield but I follow them
closely to monitor weights and assist the mom when and if weaning.
Hope this helps.
Ann Perry, RN IBCLC
Boston, MA
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