Sometimes, we have to resort to a bottle when baby is having ongoing issues 
and not getting adequate milk from the breast. As a nurse (and LC) who works 
in the hospital and often follows mothers and babies after they go home 
(through the VNA), I find that when I am dealing with a couplet that has more 
than thecommon couple of days worth of feeding issues initially, it is the 
parents who get sick anad tired of finger feeding or cup feeding. It is usually 
the mother who tells me (as I walk in the door) that she just cannot finger 
feed anymore and that she has put her milk in a bottle. Having to use the 
suppplemental feeding system gets to be too much after a few days as well. 
Alternative feeding methods are great as a short-term stop gap measure, but 
sometimes problems drag on a lot longer than that.

I know I have mentioned this before, but I would be interested in knowing if 
any of you have tried the "Breastflow" nipple by First Years? I came upon it 
totally by accident (a mother I was following went out and bought one) and I 
have to tell you, I was amazed at how different this nipple was in comparison 
to the others we all know. The baby has to use suction AND compression to 
get the milk out and it come out very slowly as well. the mouth has to be very 
wide open also.

Personally, I'd rather see a mother who is happy giving her baby her milk in a 
bottle while we as LC's are working on getting the baby to breast and more 
important, protecting 9and increasing) her milk supply at the same time.

Betsy Riedel RNC, IBCLC

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