I saw an 8 day old baby today who really liked finger fdg.  Thrusted and
drew back his tongue a lot.   Five oz. below birth wt, five oz above
discharge wt.   I praised mom for following the #1 rule and  FEEDING HER
BABY.  He did not sustain a latch onto breast, so we tried a nipple
shield.  He fussed and freaked over the shield, so we finger fed a few
ccs to calm him.  He finally latched with the shield, finally did
rhythmic, sustained sucking with sns added.   Mom has history of breast
reduction and milk supply is low.  

   I believe this baby would take to any alternative fdg. method.   He'll
go where the food is.  

    Plan: Promote and protect milk supply with frequent pumping. Practice
breastfdg a lot, supplement 2-3 oz fdgs most or all fdgs.  Talk to Dr.
tomorrow about reglan.  

  Susan in Minnesota

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