My baby is having problems latching on and has had these issues since she was born. She was born at 6 lbs 10 oz, but by her first pediatrician visit the day after we left the hopsital, she was at 5 lb 14 oz. The nurse at the hospital suggested a nipple shield by medela which I tried again once I got home and it seemed to help. My baby is wetting more than 6 diapers a day and having at least 5 bowel movements, but she is not gaining weight at a normal rate. She will be two weeks old tomorrow but is only at 6 lb. 4 oz. as of today. My pediatrician wants me to ditch the nipple shields ASAP, and supplement with pumped breast milk 3-4 times per day. She has nursed a few times with out the shield (in the presence of a lactation consultant) but I never feel like she sucks as much or gets as much with out the shields. The lactation consultant said there is nothing wrong with my nipples and is unsure why I was given the shields in the first place. Unfortunatley our hospital did not have lactation consultants on staff. I had to see them separately after we were home. She seems to be satisfied, yet she's not gaining weight. If she's not up to her birthweight by Tuesday, the pediatrician said we may need to give her some formula to get her growth up. I'd really like to avoid this, so any help anyone can offer to help me get her off the dumb shields and nursing appropriately would be REALLY helpful. At the next feeding I may try pumping for two minutes to stimulate let down and then try to put her on the breast without the shield. Wish me luck and please send recommendations!