Yes it is common practice to get them to nipple from a bottle before BFing.
I have seen it in Seattle and in Colorado.  It is frustrating because the
videos we show and pamplets we give parents for the special care nursery
state that many babies can BF before the bottle.  I have found it harder to
nipple first then BF because the baby must learn to protect its airway from
the fast flow of an artificial nipple.  Recently I had 34wk twins that were
a great size (both over 5lbs) and they both BF beautifully from the get go.
I did have to do SNS with them or top them of because the NNPs are so
numbers oriented.  These babies just had to get a certain ml/kg/day from day
one.  When I returned a couple days later both had feeding tubes and were
alternating bottle and gavage feeds and only allowed 1 BF "attepmt" a day.
All BF attempts were limited to 15min as to "not tire the babies".  I don't
understand this...I really think it is a matter of hard numbers.  The
medical society has a hard time in trusting nature.   I understand that
premies can feed great at first and then "poop out" as we say, but why go to
the bottle when they could BF from the get go?  These were mom's 4th and 5th
kids and she BF all of the siblings so her milk came in fast, she was good
at it.

Frustrated SCN RN,
Kristi
(and aspiring IBCLC)


On 10/13/07, Royce Anderson <[log in to unmask]> wrote:
>
> Christina, Niki et al,
>
> That was a beautiful story about S2S.  I worked in NICU some years ago and
> also helped in NI with BRF. I was always amazed when I saw an event like
> that and it happened every time we got mom/dad S2S with neonate.  The same
> goes for BRF with a neonate, their HR & respiratory rate improve rapidly.
>
> So, tell me, please, why the Neonatologists and NNP's  say, "That baby
> MUST
> bottle feed before he can go to breast, bottle feeding is so much easier
> for
> them?"  I just hate that, it may not happen everywhere but it is common
> practice in OK.
>
> What you permit, you promote
>
> Royce Anderson
> RN, IBCLC, RLC, CD (DONA)
> The Focal Point
> 7608 Brookside Drive
> Oklahoma City, OK 73132-5641
> [log in to unmask]
>
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