In a message dated 8/19/03 6:46:07 PM Eastern Daylight Time,
[log in to unmask] writes:
> Recently one of the moms I visited in the hospital showed me something she
> had retrieved from an online source. This is the address I copied, which
> doesn't seem to work:
> <A HREF="www.umich.edu/nursing/holden/breastfeedingpremies.htm">www.umich.edu/nursing/holden/breastfeedingpremies.htm</A>
Jenny,
I did a search at the umich site & found this. This is something that I have
been thinking that we need at our place. Thanks for the tip.
Laura Hart
Winter Park FL
http://www.med.umich.edu/nursing/holden/breastfeedingpremie.htm
Breastfeeding Wheel: * Steps to breastfeeding a premature infant
Step 1 - Skin-to-skin contact starts as soon as infant is stable, and is the
first step toward breastfeeding.
Step 2 - Mouth / nose against the nipple. Baby may just rest with mouth
against nipple.
Step 3 - Mother expresses milk for the baby - With mouth against nipple
mother expresses drops of milk or colostrum onto baby’s lip. Baby may lick nipple
or open mouth and---
Step 4 - Smell, Suckle breast, or may open mouth and hold nipple or take one
or two tentative sucks.*
Step 5 - Rooting - Baby is awake and alert and actively searching for breast.
Putting hands into mouth, licking and showing feeding cues. *
Step 6 - Awake / alert for first suckling. May take one or two sucks, or have
a sucking burst of five to fifteen sucks, with long pauses between sucking
bursts, or may take a few sucks and come off breast. *
Step 7 - Holding on to the nipple- Suckling and swallowing. Infant has
sustained nursing session, may last for 5 to 10 minutes or longer, with frequent
pauses but stays latched on to nipple. May nurse with eyes open or closed. Soft
swallows can be heard (sounds like ah). *
Step 8 - Breast Meal - Check weight, reduces supplements. As infant takes
more milk at breast, he/she will need fewer supplements. Consider pre and post
test weights on Baby Weigh Scale. *
Step 9 - Breastfeeding partly on demand. When infant is awake and showing
feeding cues, and mother is available, baby should be breastfeed. When sleepy or
not interested in feeding Baby should be gavaged.
Step 10- Mother and baby are together day and night and breastfeeding
frequently. This step often does not happen until after discharge from the hospital,
and frequently is around or after the date baby was due.
*A "wheel" rotates in both directions. Baby may be at Step 6 for one feed,
and then move back to Step 4 for the next several feedings. Patience and
support, for both the mother and infant are most important!
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