Final answer:
A nipple shield would not be necessary if the mother's milk supply is established, there are no latch-on issues, and the baby is gaining weight adequately.
Step-by-step explanation:
A scenario when usage of a nipple shield may not be recommended would be if the mother's milk supply is fully established, has no issues with latch, and the baby is gaining weight adequately. A nipple shield is often used in situations where the mother has flat or inverted nipples, the baby has latch-on issues, or when the baby is premature. The shield helps by providing a larger, firmer area for the baby to latch onto.
However, if these conditions are not present, the use of the shield may actually impede the natural skin-to-skin contact between mother and baby, which can negatively impact the breastfeeding relationship. Milk supply can also become an issue as the shield may not provide sufficient stimulation to the breast to maintain supply.
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