From one who may,  on a good day, have more than 60% of babies getting
colostrum from a spoon, I am just waiting for someone to say something
to me about it not being evidence-based.  I will ask them for evidence
for the safety of feeding newborn infants from bottles with unusually
fast flowing nipples ( compliments of artificial milk companies.) 
 I will cite all of the articles that show that babies lower oxygen
saturation and body temperature while drinking from bottles,
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&do
pt=Abstract&list_uids=3340577&query_hl=3&itool=pubmed_docsum>
&db=pubmed&dopt=Abstract&list_uids=3340577&query_hl=3&itool=pubmed_docsu
m
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&do
pt=Abstract&list_uids=12950569&query_hl=1&itool=pubmed_docsum>
&db=pubmed&dopt=Abstract&list_uids=12950569&query_hl=1&itool=pubmed_docs
um
IN fact , the more you search, you will find the dangers of bottle
feeding very small infants.  
Bottle-fed babies tend to overeat,  which may lead to obesity later in
life. 
http://circ.ahajournals.org/cgi/content/full/111/15/1897
 I always have my belly balls ready to show and I will then ask for
evidence that spoon feeding is dangerous.  I will continue until you can
prove to me that it is dangerous.  
I would definitely not recommend feeding artificial milk from a spoon as
aspiration of artificial milk is dangerous.  
I think that there are references for spoon feeding in the Breastfeeding
Atlas, the Breastfeeding Answer Book, among others.  
If anyone wants to do a multi-centered trial on spoon feeding, let me
know.  
 
 
Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel
 

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