Jaye, one other factor that I have noted with bottle-feeding is the width of the bottle. When a bottle is wide, the parents end up tipping the baby's head back further to get the last of the milk into the nipple. This reinforces shoulder and back arching -which exacerbates a tongue-humping situation. It also increases the flow of fluid through the open hole of the teat due to gravitational pressure and fluid dynamics. If at all possible, I encourage side-lying bottle-feeding to mimic the breastfeeding posture, teasing the tongue out and letting the baby pull the nipple into the mouth, etc. If a baby has a good seal, good tongue control, vacuum, etc. and mom has good milk supply, any bottle should be OK. Maybe I don't have as big a practice as you and haven't seen as many (I only see between 40-60 outpatients a month), but I don't see very many clients where a simple positioning and latch technique education is the issue. About 95% of my clientele have tongue-ties, torticollis, jaw asymmetry, mammary hypoplasia, etc. Moms with engorgement and nipple soreness due to poor latch see other practitioners. Many days I would LOVE to see that kind of issue instead of a 10-week old baby with a bad tongue-tie and mom with very little milk!
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Jaye Simpson, IBCLC
Sent: Tuesday, January 24, 2012 1:55 PM
Subject: Re: Breastflow
Re: Breastflow and compression.
Hi All,
Just to be clear - I am not talking about jaw compression when I am talking
about compression with the Breastflow bottle. I am talking about the tongue
compressing the nipple in a manner similar to but not identical to what the
tongue does on the breast when nursing. In the ultrasound video we watch
the tongue do a nice compression of the breast (what we used to call a
peristaltic wave) and the tongue drops down in the back causing the negative
pressure to pull the milk out. (my poor terminology but I hope you get the
idea). If a baby has poor tongue motion then they will compensate and
'chomp' on the bottle in order to get their milk - just as they compensate
on mom to try to nurse. But if a baby's tongue motion is that poor, I won't
recommend using the Breastflow.
I always teach proper bottling as if parent's do not know how to mimic BF
with bottling then regardless of the bottle the baby's abilities/skills will
suffer which will cause problems with the nursing. I don't care what bottle
a parent is using: If it is used incorrectly the bottle is not
(necessarily) the problem - the technique is. Parent's MUST be taught
properly and far too many are not which results in issues with
breastfeeding.
Just wanted to clarify. And as we all know - not all bottles will work for
all babies. Some of my babies don't like or do well with the BreastFlow so
we switch out to something different. It's all about options and knowing
how to use them - and knowing how to teach the parents how to use them.
Warmly,
Jaye
Jaye Simpson, CLC, IBCLC, CIIM, MoM
Breastfeeding Network
www.breastfeedingnetwork.net
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