In a message dated 2.22.03 11:34:57 AM, BWC writes:


> Some of the things I've learned to do with these refluxy babies to help
> avoid episodes is to roll them on their sides to diaper them (rather than
> lifting their legs), and to feed them in side-lying and other open 
> positions
> that avoid jack-knifing them over their diaper waistbands.   Anything that
> increases abdominal pressure pushes stomach materials back up into the
> esophagus, so car seats and burping in seated positions are also bad for
> these babies.  Open, extended positions, upright over the shoulder burping,
> and allowing babies to take many small, frequent meals instead of huge 
> bolus
> feeds really can assist.<<
> 
The car seat point is especially important since so many babies seem to spend 
so much time in these....I also mention to parents that they can recline 
these seats further by placing a towel or something under the base-foot end, 
diaper changes mid feed (rather than at the end), and bringing the stroller 
(better quality with multi positions)in the house, as this allows for 
positioning at the most desirable angle AND easier *nesting*, if this helps 
to comfort. 
Out of curiosity Barbara, did your described baby arch his back or exhibit 
any other signs to point to reflux of this severity?

Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts




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