In a message dated 3.19.02 9:36:57 PM, Jean writes:
>This results in "chuggalugging", the apparent "look how hungry the baby
>is" misinterpretation that is really evidence of a stressful attempt to
>breathe without choking while trying to coordinate sucking, swallowing
>and breathing.
Very true Jean!
I saw a very exagerated version of this recently on a home visit through my
VNA work.
Mom complained that baby was a very noisy feeder, seemed to choke a lot. I
bottle fed baby with hospital nipple (yellow, Ross) and he couldn't breath!
He would repeat suck, swallow over and over w/o a breath with an increasing
look of panic on his face until he would finally gasp and this was with my
*expert* help at the process. He did much better with the *avent* nipple but
still didn't demonstrate a rhythmic suck,swallow, breath. It has been and
continues to be amazing to me that more babies aren't developing aspiration
problems with bottle fdng! In case you are wondering I did try to interest
this Mom in *attempting* at the breast, explaining that the physiology of the
suck might eliminate the issue blah, blah. No go, this was her 4th child, she
had *tried*
to nurse her first and it was a *nightmare*. He didn't gain well, she used an
LC who "overwhelmed her with equipment" and just couldn't "go through that
again". Paricularly difficult for me to reconcile as Mom sat there w/ bound,
engorged breasts!
Jean also writes;
>>I have even wondered what would happen if "blind" nipples (teats) were
bought, and holes place slightly down the side of the nipple to release
milk a little further forward rather than squirting at the throat. It
might at least avoid the shallow placement of the smaller part of the
nipple too far forward in the baby's mouth, as happens when many people
feed a bottle.<<
Interesting idea. I tend to favor the Avent (or other wide based nipples) for
this reason as the "lips flanged around the base" instruction, forces a
deeper grasp and also *looks* much more like breast positioning. What do you
think?
I don't like the nuk either.
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts
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