If direct breastfeeding is not painful, mom can put the baby to the
breast for practice, or with a feeding tube for nutrition.  Make sure
she used good latch technique, as asymmetrical as possible, so as the
baby's mouth grows she learns to get more breast into the mouth.

Mom will need to pump and give some that milk to the baby to make up for
low intake at the breast.  Fingerfeeding or bottle feeding with cuing
for latch like at the breast (what I call "idiomatic" bottle feeding,
from a musician's term for playing a synthesizer as much like the real
instrument as possible - i.e. guitar program: six notes at a time,
playing only notes in the guitar range/ harp- arpeggiated and running
down the strings) similar to what Dee Kassing published last year in
JHL.  I suspect that when mom's nipples compete well with the bottle
nipple, there is less nipple preference, so bottles may be possible.  I
agree with Barbara Latterner than the Haberman feeder is a good choice.

As the baby grows, she will be able to take more and more milk from mom,
and less and less from other devices.  Mom will probably need
encouragement from you to keep practicing at the breast, and might need
a few follow-up visits to perfect the latch, since she will have to be
especially "scientific" in her technique to get it comfortable and
effective.

And if the Isis works, have her get two and use them simultaneously, and
forget the electric pump.
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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