Hi there Lactation Consultants:





I was wondering if any of those of you who work in hospitals have ever created(or had need of creating) a protocol and/or policy for introduction of usage of a nipple shield in the case of a baby who is not latching on(in other words, apart from the research for preemies and LPTers). My supervisor would like me to create one and on the one hand I think it's a  good idea but on the other hand I think sometimes someone experienced will find the need to "break their own rule". A year or so ago my co-worker and I were looking for research on nipple shields being used for difficulties breastfeeding and we couldn't find any. It seems as though a lot of the ideas many people had that you should never use a nipple shield came from the old rubber nipple shields that are not used anymore. I do use silicon nipple shields sometimes but I've sort of developed my own protocol(try everything else 1st, give the baby at least 24 hours to latch 1st and then make sure the pt is instructed the proper way to put it on and to pump with a hospital grade pump until there is clear evidence of milk transfer). Is there any research out there about this that anyone knows about that is not out there?



Thanks!



Barbara Holmes MS,RD,IBCLC,CD(DONA)


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