I'd say that this mother needs some help and continuing support. Her baby
is gaining slowly. I am not unilaterally against bottles in that they ,
again, are a tool to be used in some circumstances. I would personally
assess the baby's ability at breast, hone the latch technique, use breast
compression a la Jack Newman MD www.breastfeedonline.com ( one of the best
bf sites around, thanks Cindy)...have the mom pump to protect and build
supply, and perhaps put a feeding tube at breast to get a little more into
him. I would educate her on nutritive sucking, and kangaroo care, and have
her wear this baby, and take it really easy, breastfeeding often and in
short bursts...whenever baby is able. Frequent weight checks, lots of
encouragement, should do the trick. Babies learn to breastfeed by bfing,
but they need careful watching when they are this early...and small....I'd
keep a close eye on this one. Kathleen
At 06:33 PM 4/10/2002 +0200, you wrote:
>She called today that yesterday 9 April the baby weighed 2.400 - 100 grams
>in 5 days. Now, it is a great deal less than what he was gaining with
>expressed EBM, and she is worried. I suggested that she come in (this up
>til now was over the phone) and I will help use alternative methods of
>feeding so as not to compromise his bf ability. I am still of the school
>that the other methods are healthier not only because of preference, but
>the actual coordination of suck, swallow and breathe. She feels that he
>gets tired. Will check, but meanwhile, what would you all do.? he gained
>100 grams, so he certainly is getting nourishment. Is it enough?
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
http://together.net/~kbruce/kbbspin.html
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