Hi Ann,
    Paula Meir's research from 2000 show's that shield use does not
decrease milk supply, in fact, a baby who is not latching or not
latching well gets MORE milk from the breast when using a shield.
So I would advise this mom to relax and use the shield for as long as
baby needs it, for days or weeks.  Let baby nurse 10-12x/24 hr day,
1,2,3,or 4 sides.  Use breast compression. Pump  2-4 x a day to build up
supply and give an idea how much she is producing.  Supplement as baby
needs with EBM.
    I vote for baby eating at the breast with shield. What is the
alternative?  Pumping and cup feeding, or pumping and finger fdg?  or
pumping and bo fdg?
    How is baby's wt. gain pattern?
    Goodluck,
    Susan Potts, rn ibclc, Mpls area

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