In a message dated 1/20/2006 1:52:24 PM Eastern Standard Time,  
[log in to unmask] writes:

I also  don't understand why it is alright for him  to suck on a pacifier 
but  not the breast.



Nikki, I look forward to hearing the responses to your questions.  I  cut 
this sentence from your post because this statement is repeated often in the  
nurseries.  If a baby can suck on a finger or pacifier than they should be  able 
to feed.
But a baby can nonnutritive suck fine because they are not trying to  
coordinate suck/swallow/breath.  When a bolous of liquid is added to a  baby's 
sucking than they have to take the next step to swallow and this may be  what they 
cannot handle.  
 
When I observe a baby such as the one you describe, I don't understand why  
the staff are so resistant to the idea of doing gavage feedings.  They  mostly 
want to push the bottle first just to see if the baby can handle  it.
 
Ann Perry, RN IBCLC
Boston, MA

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