"It seems they are taking all feeds at breast or maybe some that are hand
expressed and cup fed."

We encourage Kangaroo care at the earliest possible opportunity - long before
the premies are ready to take any oral feedings.  It is an important first
step. Second step is "dry breastfeeding" (empty-breast nursing), then
breastfeeding after partial pumping, then full breastfeeding.  We would love
our Moms (and Dads) to stay around all day and night to K-care and
breastfeed, but they don't.
Nancy

Nancy E. Wight MD, FAAP, IBCLC
Neonatologist, Children's Hospital, and Sharp Mary Birch Hospital for Women
Medical Director, Lactation Services, Sharp HealthCare
San Diego, CA, USA

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