Winnie writes: <Can she use an Evert-It or adapted syringe to continue to work on her nipples? Is she willing to put out the cost and hassle of getting Nipplettes from England (I think that's where they come from)?> I was under the impression that the Nipplette was actually designed for cosmetic purposes, is very expensive, may have adverse effect on circulation, and I would think, for a post-partum mother, fail to adhere because of continuing milk leakage that would break the continuous vacuum. As for a pump, especially if it is a double electric one, it can perform the triple functions of: * encouraging eversion with minimal physical effort by the mom, plus * keeping milk stimulated if the baby's efforts are not able to do that because of the shield, and * assuring a stock of EBM for supplementing with a tube under the shield if milk transfer is inadequate. A very inexpensive and efficient little device called the "Nipple puller" for use just on the nipple before a feeding (not a pump) is available for less than $5 from a Canadian source which only takes a few days with regular postal delivery. I have no financial interest in this product or site. [log in to unmask] Good luck Pat, and let us know how you and she and the baby manage it. Jean ************** K. Jean Cotterman RNC, IBCLC Dayton, Ohio USA *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html