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Date: | Sun, 21 Nov 2004 11:37:18 EST |
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Arly, I remember when the reverse syringe came out and I would find one at
almost every bed side. :-( I did not ever see any great advantage to this
devise.
Since that time I have slowly learned what to have mothers do if their
nipples and areola are a challenge for their babies.
I have all mothers stimulate their nipples prior to feedings. This is to
help them learn about their anatomy, get comfortable touching their breast,
stimulate their hormones, and start bringing the colostrum down. I access the
nipple, areola and breast at this time for potential problems. In the first
24 hours postpartum I have the mothers hand expressing their colostrum onto
the baby's lips and mouth if they do not latch. If there is areola edema I
have the mothers use Reverse Pressure. In the next 24 hours if the baby is
having difficulty latching due to mother's anatomy, I may introduce a hand pump
if the hand stimulation is not effective enough and at this time may use a
shield.
The wonderful part of all of this is; I am still learning. There will be
ideas that at first glance appear great but after time and experience do not
pan out. AHH, the wonder of learning. :-)
Ann Perry, RN IBCLC
Boston, MA
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