There are a couple of IBCLC/Public Health Nurses here in Ottawa who are
recommending the Niplette, I will see if I can get them to send in their
observations on results.  As an IBCLC in private practice since 1985, I
don't.  I find that if you get a baby properly latched with a full mouthful
of breast tissue the nipple really doesn't matter.  I tell my clients they
don't need a nipple to breastfeed, they just need a breast.  Some of my
clients maintain that shells do help both pre- and post- partum and I
don't discourage their use even if the effect is only placebo.  If the
mother thinks they help, they probably do.  I don't recommend them during
pregnancy unless a mother asks.  Post-partum, I prefer them to use
silicone backed shells with the larger opening.  I see about approx. 20 -
30 new clients per month and This month is veerry busy so not much time to
go on-line!  I do think LACTNET is wonderful I was in shock when I saw all
the messages I had received today!  I had just given the joining info to
other IBCLC's at our last month's meeting a couple of weeks ago.

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******Joan M. Fisher******
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