In a message dated 5/9/2002 11:21:32 AM Eastern Daylight Time,
[log in to unmask] writes:


> But we do sometimes use ng tubes attached to syringes as homemade
> nursing supplementers or fingerfeeders!
>

Catherine, yes, good point....I have especially liked using a 5 fr fdg tube
under a shield for the baby who cannot BF directly due to latch-defying
breast, and who needs to be supplemented for whatever reason, ...seems to me
that this set up is often times preferable to bottle/nipple, finger, and cup
fdg;

* keeps baby "at breast", pretty close anyway

* provides some nipple stimulation/flow of breastmilk, even early PP

* encourages a wider mouth latch/suck than some bottle nipples, fingerfdg,
and cup fdg

* encourages nipple protractility during the fdg

* parents seem comfortable with it as baby controls flow as sucking is
required to extract the supplement through the shield pores

* sometimes seems to be an easier transition to direct BF if you can get the
nipples to eventually cooperate
                   __
* pumping pc (after fdg) helps initiate and maintain supply till shield is
DC'd

I like to have baby in as upright a position as possible to facilitate the
baby's control over flow rate while fdg.

Comments?

Debbie Tobin
RN BSN IBCLC LCCE
Springfield, Virginia USA
In the Fairfax County suburbs outside the Washington DC beltway

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