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Expert Q&A

	By Ann Calandro BSN, RNC, IBCLC Lactation Consultant

Can a 7-month-old be taught to latch on and nurse correctly? My sister's child has been nursing with the aide of a nipple shield. She does not latch on properly and really never has. She did have a bit of a recessed jaw as a newborn. This inability to nurse has been prevalent in her husband's family. My sister has tried to cut away the shield with no luck. She has also tried quitting cold turkey but it is too painful since the baby won't latch on and maintain a good position. The baby has gained and thrived on breast milk while nursing with the nipple shield.

Sometimes babies get used to the feel and shape of a nipple shield and then prefer it to the softer breast tissue. It is difficult to say whether this little one would begin to nurse without the shield. Every baby is unique. Many mothers have tried to accustom the baby to the breast by beginning the nursing with the shield, and then halfway through the feeding removing the shield to see if the less hungry baby would accept the breast without it. Sometimes moms try when the baby is very relaxed or almost asleep. It is interesting that there is an appreciable growth in the jaw during the first few months. Some moms notice baby's jaw is less recessed , which would make the latch easier. Babies are pretty remarkable and adaptable, so if mom is concerned,it is worth a try. She may consider a visit to a board certified Lactation Consultant for assistance. On the other hand, since your sister is very successful using the shield and her baby is growing and thriving, some might say, ""If it ain't broke, don't fix it!""

Ann Calandro, RNC, IBCLC"

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