I know that all devices are just tools to bring the breastfeeding dyad to 
the end result of total breastfeeding.
I have worked with many kinds of breastfeeding pillows and not pillows at 
all, just slings and lots of leaning back. However once again I see the 
pproper tool as being very effective for all mothers with disabilities and 
have worked with mothers who had either one missing arm or an arm that was 
lame from a stroke or Mom's own birth trauma. Breastfeeding pillows that tie 
around the back and have a bit of back support are very effeective for these 
moms. Slings used in differing positions or a long wrap are also effective.

All of these devices are very important also for the moms with severe carple 
tunnel. Different strokes for different folks and don't throw the baby out 
with the bath water are phrases we must remember. We work with so many 
different situations and difficult situations. I use the "What ever works 
method" and doesn't make life more difficult for the nursing dyad. This is 
when lengthy assesments are very necessary.

Attie Sandink RN. IBCLC. RLC 

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