Mary asks: 
Do you think a Nipple Shield should be used  at all in the first 2-3
days of life?
No. I agree with Mary.  I rarely use nipple shields until at least day 4
or when the mom has an ample milk supply.  I prefer to use spoon-feeding
in the first 3 days, with frequent breast-focusing if possible.  We have
enough trouble squeezing the milk out into a spoon.  
My vote is no on that one.  
Many people forget to remind mom to pump when using nipple shields.  I
believe in insurance pumping if mom is using a nipple shield, unless she
has an amazing milk supply.  I also think that test weighing is
mandatory to check if there is milk transfer.  Otherwise, I would do as
Cathy Genna suggests: take the shield back from the mom.  
 
 
Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel
 

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