We teach moms to look for colostrum in a properly fitted shied and have seen it plenty of times....
Holly
Sent from my iPhone
> On Dec 23, 2015, at 9:04 AM, Jan Barger <[log in to unmask]> wrote:
>
> Lots and lots of debate on nipple shields going on here. I want to bring
> up two points...
>
> The first is that in all the posts I've read, I don't remember reading a
> single one about making sure the mother knows how to put the shield on
> correctly. Many moms that have been given a shield in the hospital or they
> bought it at Target or whatever don't know how to stretch it, turn it nearly
> inside out and smooth it over the nipple/areolar complext to make sure it is
> fitting snugly and well. I can't tell you how many moms come to me with a
> shield -- I always ask to see how the baby does on the shield so I can watch
> her put it on. Some do it correctly -- others just pop it on the breast
> and there is leakage, the baby doesn't get on well, and doesn't transfer
> well. That to me is one of the most concerning things about using shields.
> Perhaps all of you are assuming that all mothers are taught this -- no, they
> aren't. And it is imperative whether she is getting a shield 2 days or 2
> weeks out.
>
> Number two -- I would love to know where the idea came from that
> "colostrum can't be transferred thru a shield." Trish Shamblin, among many others,
> just pointed that there is no research showing it can be. I would maintain
> that there is no research showing it can't be.
>
> Just for fun, I got out a new Medela shield and poured honey into the teat
> portion...honey a friend gave us from good old Wheaton bees. I didn't
> touch the shield to squeeze it -- and that honey just leaked right on out thru
> the holes in the shield. Colostrum is not as thick as honey -- and I can
> only imagine that if the baby is suckling at all, they will get whatever
> mama has in her breasts.
>
> True, that was not a scientific experiment, but I do think we need to lay
> to rest the notion that babies can't get colostrum thru a shield --
> especially when we have to be careful to apply the shield well.
>
> Please don't jump all over me about the use of shields in the hospital in
> general -- these are simply my observations about what is being talked
> about on this thread....
>
> When you are writing shield policies for wherever/whoever you are writing
> them for, make sure you include in the policies HOW to put the shield on....
>
> Jan Barger, RN, MA, IBCLC, FILCA
> Wheaton IL
> _www.lactationeducationconsultants.com_
> (http://www.lactationeducationconsultants.com)
>
>
>
>
>
>
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