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Hi, Tricia-
I think it is completely reasonable to use a bottle in a paced fashion to supplement a baby using a nipple shield, and most other babies needing supplementation beyond the hospital stay, really.
Pacing is the key...and using a "traditional" nipple shape-- not NUK or "looks like a breast" shape, in my opinion.
In case you are not already aware, The Milk Mob has a great video demonstrating paced feeding on YouTube you can refer parents to watch after hopefully demonstrating in person:
https://www.youtube.com/watch?v=OGPm5SpLxXY
Kathy Leeper, MD, FAAP, IBCLC, FABM
Breastfeeding Medicine Specialist - Leawood, KS
MilkWorks breastfeeding center - www.milkworks.org<http://www.milkworks.org/> - Lincoln, NE
Milk Mob Board Member/Trainer – www.themilkmob.org<http://www.milkmob.org/>
Board Member Kansas Breastfeeding Coalition - www.ksbreastfeeding.org<http://www.ksbreastfeeding.org>
Creating a healthier community by helping mothers breastfeed their babies....
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