• Do not boil the tube of the non-manufactured aid. It is not made to be boiled.
• After using the device, clean the bottle and nipple as usual. Do not boil the tube. The tube should be emptied after use and then rinsed through with hot water (suck up hot water into the tube from a cup) and then hung up to dry. Soap, though not necessary, may be used if desired, but rinse the tube well. Tubes may become stiff and unsuitable for use after a few days to a week.
1. Maintain contact with the breastfeeding clinic for advice about weaning the baby from the lactation aid. See the information sheet Protocol to Manage Breastmilk Intake.
2. Weaning the baby from the aid may take several weeks or only a short while. Do not be discouraged and do not try to force the weaning. Usually, the amount of milk required in the lactation aid increases over one or two weeks, and then levels out for a variable period of time before decreasing. The whole process may take two to eight weeks or longer, although some mothers have used the device only a few days, whereas others have not been able to stop using it at all until the baby was well established on solids. Rapid improvement sometimes occurs after a long period of little change.
3. Observe the baby's breastfeeding. If you do not know how to know if the baby is drinking, see the video clips at nbci.ca. Put the baby onto the breast, allow the baby to breastfeed as long as he is suckling and drinking, then use breast compression (see the information sheet Breast Compression) to keep the baby drinking; then repeat the process on the second breast. You can return to the first breast and continue back and forth as long as the baby is drinking. After you have finished feeding on both breasts, insert the tube into the baby's mouth. Allow the baby to breastfeed until satisfied using the lactation aid.
Questions? Get Dr. Jack Newman's book The Ultimate Breastfeeding Book of Answers.
Jack Newman graduated from the University of Toronto medical school as a pediatrician in 1970. He started the first hospital-based breastfeeding clinic in Canada in 1984 at Toronto's Hospital for Sick Children. He has been a consultant with UNICEF for the Baby Friendly Hospital Initiative in Africa, and has published articles on the subject of breastfeeding in Scientific American and several medical journals. Dr. Newman has practiced as a physician in Canada, New Zealand, and South Africa.
Lactation Aid, 2009©
Written and revised (under other names) by Jack Newman, MD, FRCPC, 1995-2005©
Revised Jack Newman MD, FRCPC, IBCLC and Edith Kernerman, IBCLC, 2008, 2009©