Coach Smith here again...A few lecture students recently kept asking "what ABM would you recommend," 'What nipple/teat is best," and "what alternative feeding device is best when..." These are the wrong questions. The RIGHT question to ask is "why can't this baby get milk at the breast?" and the energy put into answering THAT question!! IMO, 80% of the problems are solved by getting mom and baby together more. Of the remaining 20%, I believe 80% of those cases are solved with fixing positioning and latch on. The very, very few cases left may need the "emergency kit" of gadgets and manufactured fluids for a short time till they can get to breast and get milk effectively. It's as if they were asking "what life jacket is best if you can't swim?" The answer is "Learn to swim and you won't need one except in true emergencies, and these are the 10 things to do to prevent the emergencies from happening in the first place." Linda Smith, Dayton OH private practice LC