Hi Suzanne,
A bunch of us are coming down to Medford to hear Paul Meier tomorrow, maybe we will get to meet!
Yes, I do try shields with these babies. the shield's super stimulus did not do a thing for these kids. I DID get an OT feeding referral for the worst of these babies. She worked with him for about an hour,a and came to the same conclusion my boss and I had -- he was not able to feed with the Avent or the Haberman, we could only get food down him with a straight yellow nipple. We all think he probably has some kind of syndrome, it's not apparent developmentally yet, in anything besides feeding.
We do suggest craniosacral, our agreement with pediatricians is that we suggest it to the PED, and let them bring it up with the family. In our area, we have a variety of practitioners who offer CST,including RNs, PTs, LMTs, and several chiropractors. The peds tend to not like the idea of sending a newborn to a chiropractor, but are usually OK with an allied health provider they are more familiar with, like a PT or RN.
Maybe see you tomorrow --
Martha Johnson RN IBCLC
Eugene
-----Original Message-----
From: Suzanne Bowes [mailto:[log in to unmask]]
Sent: Saturday, October 02, 2004 10:04 AM
To: Johnson, Martha (Lactation-SHMC)
Subject: poor suck
Martha-
Greetings from Medford, Or. Strange thing about the suck problems. I don't see it much. However, I now have a little one with poor suck and my gut instinct is that there is some type of "syndrome" afoot here. I also suspect that epidurals may have some play in the poor suck problems; particularly if a narcotic is used (as it is in most cases). Have you tried a nipple shield? I use one on many of our preemies that usually have weak suck as it is a stronger stimulus and there a higher degree of "success" for the mom. Paula Meier wrote an excellent study on shields and was in the JHL a few years back. If the baby eventually takes a artificial nipple, a shield may be just the ticket. Mom needs to pump of course to get the supply established and mainttained. Also, cup feeding is a great bridge to oral feedings. Have you considered a referral to an OT or your local feeding clinic? Cranial-sacral therapy may also help. I don't dare suggest it here as the docs would think I was some kind of witchdoctor.
Keep in touch.
Suzanne Bowes RN, IBCLC
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