I missed the first post on this, but I'd like to ask: Who has ever had to
respond to the "afraid of aspiration" issue when they have BOTTLE-fed a
baby????

If you 're interested in changing things at your hospital, check out an
article that I wrote for Mother Baby Journal in 1997. (I can't find it
right now, but trust me, it's there.) The article gave several steps for
how to help colleagues stop going crazy over this. (You'll be interested to
know that JHL rejected the article since reviewers thought it wasn't of
sufficient interest to readers.)

In my book, I give a protocol for cup feeding, and the abstract of a
research paper that has not been published.




>Helen, and all
>Yes, any of us that have ever suggested syringe or cup feeding have
>probably had to respond to the "afraid of aspiration" issue. If anyone out
>there has yet to see research, or case study of aspiration caused by
>syringe or cup feeding, I'd like to see it. None of the naysayers(whether
>physician or other)whom I've heard offer this "concern" have ever shown me
>justifiable reason for this concern. So, if there is a good reason to
>believe a baby would benefit from alt. feeding method, and you are met
>with resistance, first question where the concern comes from. Often,
>simply fear of unknown, or untried. Last winter, in a pre-conference
>clinical our staff participated in, we offered an alt. feeding station;
>complete with live mother/babies willing to man.express milk and be cup
>fed for demo.purposes. This was very effective,as many had not seen
>before, babies handled beautifully, safely, and even participants who had
>never tried/seen and were skeptical said it made more sense after they
>themselves tried the method!(that is, cupfeeding themselves,using only the
>techniques also used on baby).Sometimes, is slow process to change, but if
>you can emphasize "precautions" in form of inservice, may help.(sitting
>up, no pouring, baby-paced,etc.)btw,ask if they've every filled a
>bottle,put on abm co.nipple, and turned upside down. Talk about concern
>for aspiration!  Good Luck with this Dr!



--
Marie Biancuzzo
Perinatal Clinical Nurse Specialist
[log in to unmask]
Resources to simplify breastfeeding management are available at
http://www.wmc-worldwide.com

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