Debi,
I would not use an SNS or any method to increase the flow for this baby.
The reason is that increased flow makes the baby suppress breathing more
and increases the work of breathing for a baby with a cardiac or
respiratory issue.
The elevated respiratory rate is a sign that baby is starting to need
more oxygen. Allowing the baby to rest and recover a normal respiratory
rate after breastfeeding, and then offering either the breast again or a
Haberman feeder or carefully paced bottle should help.
If mom is willing to keep baby skin to skin and feed very frequently,
that ounce at a time may be enough.
Catherine Watson Genna, IBCLC
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