Anita wrote: "Also fed her in a semi-reclining position (not flat on back)  
like Suzanne Colson describes in Biological Nursing so she had the  
most head control and could allow some milk to come out of her mouth  
if she needed to.  She eventually grew into the flow (and it settled  
down, but it took a while) and is still nursing at nearly 2.

Does she need to get rid of the shield straight away?  Could she try  
attaching baby after the let-down has subsided to see what happens?"

These two ideas sound excellent! I wonder, if the baby latches after the initial 
let-down, could this mom use the "dancer hold" to help with the clicking. Some 
babies don't have the fat pads in their cheeks (especially if they are pre-term 
or even late-preterm)  to be able to keep a tight seal which might be causing 
the clicking. By using the fingers to gently help the baby make a better seal 
the clicking could be eliminated. Also, if the baby has a stuffy nose, saline 
drops might help her to breath better through her nose.
Good luck!
Marie Ivey, RN, BSN, CLC

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