Following with interest this discussion, and I have some questions:
Why is it OK to market nipple shields without clear instructions for their
application (the turning inside out, and then right side out on the breast,
to draw as much tissue as possible into the shield, for example)?

Why are there no standards for size and shape?  Here, we can choose between
Avent and Medela, and possibly one more.  I know about this third mystery
brand because apparently it is cheaper than the Big Brand names ones, and
our hospital started stocking it a few years back.  They were absolutely
useless.  The nipple portion resembled the teat part of a feeding bottle
nipple.  It was so small that no one with post-pubertal breasts could have
got more than a sliver of breast inside them.  It took one telephone rant to
get these things out of supply department completely.  I have never, ever,
ever seen a breast that would have been improved by the use of this model,
and most breasts I see couldn't have got it past the word 'go'.

Rachel Myr
Kristiansand, Norway

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