Have you tried pre-filling the nipple shield with expressed milk? Mom 
can either compress her breast if that won't push the shield off, or she 
can use a curved tip syringe to place the milk inside from through the 
holes in the tip of the teat... There's a photo of this in Selecting and 
Using Breastfeeding Tools (Hale) as well as photos of Linda Pohl's 
method of putting a nipple shield on so the milk doesn't drip right out.

The idea is to give baby an instant reward, and to trigger a swallow so 
that it starts up the suck-swallow-breathe cycle.

I'd also make sure the baby can breathe well. Sometimes babies with 
blocked noses (mucous, choanal atresia, etc) act this way.

Catherine Watson Genna, BS, IBCLC  NYC

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