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Date: | Mon, 29 Jan 2007 23:04:44 -0500 |
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I find that if mom is willing to use one, feeding tubes at breast are
generally very effective. Some babies with very poor sucking skills may
take several days to be able to reliably move milk from the devices, and
for them I might use a syringe and tube and have mom give boluses.
WHen I use a tube in a bottle a la Dr. Jack Newman, I generally use one
of the red "premie" nipples I've confiscated from parents who've been
given them in the hospital. I have a whole bag! I cut a small slit in
the nipple tip and thread the tube through to prevent leaking. There are
also commercially available caps with a hole for the tube.
If mom has sufficient financial resources, I generally recommend the
Lact Aid Nursing Trainer. It leaks less, and moms tend to dislike it
less than other commercially available devices, in my experience. (Few
women actually like supplementers!) I mainly use the SNS when mom has
twins or if she used it with a previous infant and wants to use it again.
Catherine Watson Genna, IBCLC NYC
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