This shield has the firmest silicone nipple - which may be good in situations where just having something to grasp on to is the issue. The new design has a cut out on two sides so it won't flip up over the baby's nose in use and they can still smell the breast. The small size has returned which is what I recommend for newborns so they don't just end up with a mouth full of silicone! Box of 2. WAS $8.00 - NOW $6.40