#USLCA2016 Walker: never cut #nippleshield away as a method of weaning baby from it #IBCLC

#USLCA2016 Walker: lg study in 2015 showed 2-fold increase in #mastitis when using #nippleshield #IBCLC

#USLCA2016 Walker citing Case Report published 2015 re: high intraoral vacuum (Perrella et al) and #nippleshield use #IBCLC

#USLCA2016 Walker: mothers using #nippleshield shd check all areas of breast for plugged ducts, poor drainage, maybe need to pump after fdg

#USLCA2016 Walker showing photos of proper vs incorrect latch on #nippleshield #IBCLC

#USLCA2016 Walker: no data on effects of #nippleshield on infant’s olfaction at breast #Breastfeeding #IBCLC

#USLCA2016 Walker: no measurements are available on stiffness of #nippleshield, mfrs not providing that info #IBCLC

#USLCA2016 Walker: discussing specifics about sizing #nippleshield properly - different shapes, lengths, number of openings #IBCLC

#USLCA2016 Marsha Walker on #nippleshield use

#USLCA2016 Walker using #neuroscience to explain how #nippleshield alters sucking pattern of #baby #lactation #IBCLC