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Subject:
From:
Steve Salop and Judith Gelman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 21 Jan 1999 11:09:36 -0800
Content-Type:
text/plain
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I have two suggestions for the mother who is reluctant to  use surgical
tape with the SNS.

First, hair setting tape (pink and available in every drugstore in the
USA) is extremely gentle.

Second, once a mother and baby get the hang of it, there is no reason to
tape the SNS in place.  I have abundant personal experience with this as
I used devices with all three of my babies (adopted and induced
lactation/relactated) and with lots and lots of clients.

I advise mothers to use the tape as a "3rd hand" whwn the baby is in a
squirmy, hands everywhere, mood.  When the baby is relaxed, the mother
can hold the SNS along the nipple with her forefinger as the baby
latches. SHe moves her finger out of the way as the mouth closes.  SHe
can adjust the length of the tube once the baby latches.  Idelaly she
should feel the supplement drip over the end of her nipple.  (It helps
to feel this if the supplement is cold--and the flow should be slow
enough that there is no need to warm it.)

If the baby needs an instant flow to get started, the mother can puch on
the SNS with the heel of her hand as the baby latched.

 When the baby doesn't need the  instant flow to get started, I advise
mothers to start without the SNS in the baby's mouth.  After the baby is
latched, the  mother can work the  SNS into the mouth.  This is a lot
easier thatn it sounds.  It gives the nursing couple the flexibility to
"empty" the breast, then supplement at the breast by adding the SNS. I
find this  insures better growth of the milk supply.

All 3 of my kids and many others I have worked with quickly (a couple
weeks) learned to open a little to accomodate the tube without losing
the latch.  They felt a tickle on the lip, opened slightly and the tube
was in place.  No tape needed.

WOrking with the SNS is quite easy--just remember that whatever works
for a particular mother and baby is OK.

Warmly--
Judy Gelman, IBCLC
Washington, DC

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