I agree that a G tube is so much kinder than using an NG or OG tube for 
a prolonged time! I usually counsel parents that the G tube procedure is 
simple and that as soon as it heals, baby has no more discomfort or pain 
during feeding!

Catherine Watson Genna BS, IBCLC  NYC  www.cwgenna.com

On 6/25/2014 7:26 AM, Maria Parlapiano RN IBCLC wrote:
> Just on a side note- I would explore the moms reluctance regarding a GT tube.  I think a parent may look at the insertion if GT as a failure or permanent step
> And scary but the NG is not very comfortable as it irritates the nasal passages and goes down the back of the throat.  For long- term
> supplemental feeds the GT is a much better option, easy to use, more comfortable for the baby and can be taken out when no longer needed.
> I think they may be able to accomplish more skills orally without the NG in place.
>
> This was our experience with my grandniece Charlotte who suffered a TBI - you could see that the NG was annoying and uncomfortable for her- the nutritionists used the GT more as a "threat" if we couldn't force enough fluids down orally.  I got involved and said " So be it!
> She needs a GT - it's not the end of the world". Her oral skills progressed in leaps and bounds after that.  She has had it in 16 mo but now it's only used for breastmilk & extra fluids at night.  Prob will be removed by the end of the year.
>
> Good luck with this case :)
>
> Maria Parlapiano RN IBCLC
> Chatham NJ
>
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