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Tue, 13 Sep 2005 00:45:01 EDT |
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I have used nipple shields with NICU selected premature infants for several
years and in my experience it helps them learn to breastfeed. Mothers go home
with the understanding that they will work to get them off using the shield by
close to term(40 weeks), Some of them are off before they go home.
I would think that if you have problems with foremilk and hind milk
imbalance, Joanna, maybe the mothers do not need to "always pump. " You may be
keeping the mother in overproduction, by having her pump too much.
An infant may be capable of feeding quite well with a shield until strong
enough to feed without it. Size is important...it needs to fit mother to baby.
Babies' maximum vacuum levels are not very high. Using the shield is like using
a gripper on a bottle top so you can have enough strength to open it. They
still need to learn to open their mouth wide, and shields don't elicit very wide
gapes, so they still have to work to do to learn how to feed without it, but
it sure beats pumping when it works well. I don't use tubes with shields very
much, since so many mothers don't like them, and staff uses bottles, so they
get bottles if the intake at breast is insufficient after they go home(pumping
then would be a given).
Fritzi Drosten
SFbay area
Piedmont, CA
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