Karen writes:

I am due to  see a 5 week old baby tomorrow who suffered birth asphyxia and 
has extensive  neurological impairment.  I first met this baby at 2 weeks of 
age and  assisted with the first breastfeed which was successful.

His motor  development has deteriorated and he is a difficult feeder. 
He has some of  his feeds via a haberman feeder and eventually he will be 
tube fed I'm  sure.  Meanwhile, his mother wants to continue breastfeeding as 
long as  possible.



How is the Haberman working? I always wonder what the best feeding  assistive 
device is for these babes. If the baby is going to end up with a  Gtube, can 
there still be nursing while the Gtube is "feeding" the baby? Is the  baby 
high tone, low tone, changing tone, disorganized in general? Depending on  the 
tone, positioning can be used to assist in normalizing it as much as  possible. 
Does the baby see a really good OT and/or SLT? It can be really  helpful to 
attend a visit with the OT/SLT and brainstorm together in the same  room.
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL, Brooklyn, NY, USA


             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html