Just so you all know - when doing my research for my class in research, I found evidence that cross-cut feeders actually flow slower under vacuum  than do round hole nipples!  Go figure that!  There's a whole lot we don't know and ideally, bottles should be measured on flow rate by measuring the baby and putting a strain gauge on the nipple so we know how much vacuum the baby is applying before we decide what the flow rate really is.  There's a lot more basic research to be done, we've been operating under assumptions for too many years now.

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Linda Hill
Sent: Monday, December 01, 2008 9:47 AM
Subject: paced feeding

Hi All,
 
     I was mulling around different names for this and came up with an acronym for PACE:  Paying Attention to their Cues while Eating.  :-)
I love the use of the term: " tsunami effect".  ;-)   And just a word about
the cross cut nipples.  Have you ever seen the AR (added rice)formula?  It's almost like a thin pudding consistancy.  The babies with severe reflux or other feeding/swallowing disorders may need these "thickened" feedings to keep down their meal or to be able to swallow correctly.  Even when "simply thick" is added to expressed  breast milk -  you need a faster flowing bottle to help with the delivery.  So there is a need for the cross cut and faster flowing nipples. 
     I agree that we need to teach parents to LOOK at their baby......and to pay attention to their cues while eating!  ;-)
 
Linda Hill RN, IBCLC
AustinTX

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