Hello Lactnetters!!!
I'm seeking insight regarding recommendations for pumping with use of a nipple shield. We currently use Medela nipple shields and the product education handout states that pumping is recommended after each use however I have been unable to find any research that supports that recommendation.  Riordan, 2010, in Breastfeeding and Human Lactation, made the same pumping recommendation but I can not find it in 2015 edition of the book. 

At the hospital where I work, we recommend pumping after each use followed by a gradual decrease in pumping frequency once infant demonstrates sufficient milk transfer/weight gain with the shield.  I always feel awful giving this pumping recommendation since it is so much work for an already exhausted mother.  

What recommendations do you make when using a shield?  Any insights would be helpful.

Thank you,
 Amy

Amy Wagner, BS, RN, CCES, IBCLC
Hershey PA

Sent from my iPad
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