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Re: Medela Contact or Philips Avent nipple shield?

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I use the medela regular ones. I hate the contact shield. it doesn't stay put. I haven't ever tried the philips though... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- From:

Subject: Medela Contact or Philips Avent nipple shield?To: Date: Friday, August 6, 2010, 4:22 PM

1. which do you guys prefer?

2. where/how do you buy bulk cheaply?

thanks!

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I prefer the Medela 24mm Contact shield in most cases - occasionally smaller one works - but I find the 24mm keeps the babies mouths open wider and more milk get transfered - when it is the right tool.I get them from a local business.Leigh Anne in NYCSent from my Verizon Wireless BlackBerrySender: Date: Fri, 06 Aug 2010 23:22:07 -0000To: < >ReplyTo: Subject: Medela Contact or Philips Avent nipple shield? 1. which do you guys prefer?2. where/how do you buy bulk cheaply?thanks!

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wrote: "I hate the contact shield. it doesn't stay put. "

Hmmm. The contact shields are the only ones I use, . The only time I have trouble with them staying on is when the mother has very large saggy breasts. Do the regular ones stay on better in that situation?

Dee Kassing

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Those are the only ones I use too. I really have a hard time with the regular ones flipping over the baby's nose. Most of the time I don't have to do this, but occasionally I'll run the shield under hot water for a minute or so, and that helps if mom's skin is particularly dry.

Interesting how our mileage varies on this. I love the 20 mm shield and have/use more of those than the 24.

Jan

wrote: "I hate the contact shield. it doesn't stay put. "

Hmmm. The contact shields are the only ones I use, . The only time I have trouble with them staying on is when the mother has very large saggy breasts. Do the regular ones stay on better in that situation?

Dee Kassing

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so funny how we all have different experiences. I don't buy the contact shields because i find they slip around no mater what kind of breast. there just isn't as much area to "stick" to breast. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- From: Dee

Kassing Subject: Re: Medela Contact or Philips Avent nipple shield?To: Date: Friday, August 6, 2010, 10:28 PM

wrote: "I hate the contact shield. it doesn't stay put. "

Hmmm. The contact shields are the only ones I use, . The only time I have trouble with them staying on is when the mother has very large saggy breasts. Do the regular ones stay on better in that situation?

Dee Kassing

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You probably know this but for anyone who may not, a slight dab of lanolin run

across the shield brim can alleviate the lifting of the brim. Too much can make

it miserably slippery so use it sparingly.

I demonstrate and have moms return demonstrate applying the shield. Women are

resourceful so they all develop their own style but I show them how to turn the

stem up about halfway, and if you stretch the shield opening as you apply it to

the breast tissue you can often get a much better seal or drawing up of the

tissue. I review this for every mother I see who has a shield.

I have both with and without contact. If it is going to adhere well it seems to

in my experience stay well regardless if it is contact or not for the most part.

>

> so funny how we all have different experiences.  I don't buy the contact

shields because i find they slip around no mater what kind of breast.  there

just isn't as much area to " stick " to breast.

>

> Beebe, M.Ed., IBCLC

> Lactation Consultant/Postpartum Doula

>

> www.second9months.comBreastfeeding Between the Lines:

 http://second9months.wordpress.com/

>

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I find that the shields fall off more frequently if mothers just put

it on directly, without first turning the outer rim a little inside

out and then rolling it on like a stocking. The rolling it on like a

stocking seems to work fairly well. I also use the warm water trick

for very slippery breasts. I also find more slippage when mom's use

smaller shields -- especially the 16 mm shields -- because less

areolar tissue is inside the shield. Sometimes the 16 mm just sit on

top of the breast and fall right off. I find less slippage with the

contact shields. I mostly use 24 mm nipple shields because milk

removal is usually better. If a mom has different sizes, I try both

sizes in a crossover design -- small to large on one breast, large to

small on the other --- or some other combination if one breast yields

less milk. Then determine which works better.

Best,

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