I have used a nipple shield on days 2 and 3 to get these babies to breast. 
 I work in both the hospital and private practice settings and became more 
open to using a NS after seeing more than a few Mom's just give up on day 
4 -5 because the baby has never L/O. On my NS care plan pumping is a must, 
6 to 8 times a day post feeding until the milk supply is well established 
then 4 times a day post feed to assure adequate emptying. Then stopped if 
the NS is no longer needed or slowly decreased based on milk supply of Mom 
and weight gain of baby. 

Ann G. Cagigas, RN, MA
GSA Health Unit,  Room 1010
1800 F St., NW
Washington, DC 20405
202-219-1228
202-501-0028 (Fax)

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