We teach moms to look for colostrum in a properly fitted shied and have seen it plenty of times....

Holly 

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> 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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