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 From: Dave/Paula/Laura Conning <[log in to unmask]>
 To: [log in to unmask],ummed.edu
 Subject: Debbie Saalfeld
 Date: July 18, 1997 7:37 AM
Hi all,
        Had to write a note to commend Debbie Saalfeld's post on our entrenched
 beliefs about shields and other interventions.  I love the phrase
"creating
 our own mythology", as it is so appropriate to the field of lactation.( I
 know Debbie didn't use this phrase, but she described the problem).  I
took
 a course in lactation a few years ago where we debated the existence of
 nipple confusion, and everyone in the course was more than willing to deny
 the literature to support their beliefs.
        Right now I'm working with a mother of one week old twins who is
 supplementing her breastfeeds with EBM via bottle.  The SNS was exhausting
 and frustrating her, and she'd been down the finger feeding road with a
 previous child and wasn't going there again.  She said after I visited and
 presented the option of bottles she felt like she had choices and could
 work out something that she could live with.  We need to look at
individual
 situations and give appropriate options, without feeling guilty for going
 against the no nipple doctrine.
   Thanks for the great post Debbie!
                                        Paula Conning, IBCLC
                                        orangeville, Ontario