Ameda Egnell's shield is wider than the Medela newborn regular.

The two most important factors in choosing a nipple shield are fit and
fit.  Fit for mom (the whole nipple plus some of the areola fit in the
shield) and fit for baby (the whole teat portion of the shield plus part
of the flat portion fit in baby's mouth).  One gets good at looking at a
nipple and knowing which shield will fit best, it's an experience thing.
  And for baby, you can either use a (gloved or "cotted") finger to
measure the palate length, or try the shield and make sure the baby can
get on properly AND MOVE MILK.  Yup, yelling there, some kids move milk
better with a shield, some do not move milk at all.  It's important to
take the shield back if the baby does not move milk using it.  I don't
charge moms for shields (unless they lose it and need a second), so they
can't complain if I put it back in my pocket to throw away at home.
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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