I just poked my head back in the room to listen to, again, so I may be
very late on the nipple confusion topic. I heard someone explain this
many years ago so that it made lots of sense; and I relay it on to
mothers. I usually talk to moms about their bottle feeding friends who
complain that it took 10 types of pacifiers before they found one which
their baby would take (so they bought 5 of them), or the baby who
distinctly likes one type of bottle nipple and fusses when given
others.  If bottle feeding babies can have pacifier/bottle nipple
preferences, why can't breastfeeding babies have a preference between
rubber nipples and the real thing nipple.  I usually, also, distinguish
between the shape preference and the flow preference.  Some babies will
take the breast nipple but get mad when the flow doesn't come fast and
steady like a bottle.  The nipple preference babies don't get on and the
flow preference babies bf for a few minutes, then pull off crying.
Generally, speaking.

Becket Miller, RN,IBCLC
Boca Raton, FL

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