Lucy,
Dr. Tina Smillie and I were the speakers at the WALC conference a few
weeks ago.  Tina is no longer on Lactnet, so I will reply on her behalf
as well as mine.

Neither of us said there was no need to ever use cup feeding, or that
pacifiers were good as a routine measure.  Dr. Smillie talked about
modified bottle feeding for use with ALREADY DISCHARGED infants who are
unable to take the breast YET, while working toward latching.

I talked about ways to assist an infant with sucking issues, and one of
the exercises I showed uses a specific pacifier to play "tug of war" to
assist a baby in increasing tongue grooving.  This DOES NOT mean that
pacifiers should be used for every baby.  I gave a long disclaimer on
that talk that it did not apply to every infant.  I was concerned about
doing that advanced practice topic in an audience that contained
non-IBCLCs, your colleague's interpretations of the information given
make me feel that that concern was justified.

 There was plenty of information on fingerfeeding as well in several of
my presentations.  Tina is not such a fan of fingerfeeding, but that's
fine, we all have our favorite tools, and she does use it when she feels
it is best for the individual baby.  We both talked about modified paced
bottlefeeding as one of many ways to nourish a baby when alternate
feeding is necessary.

I talked about using Haberman feeders (and even showed a video of using
one) during my presentation on Respiratory Malformations in BF Infants.
I also gave information about and video instruction on fingerfeeding
with syringes and tubes and the Hazelbaker fingerfeeder.

You should have miniatures of every powerpoint slide in your sylabus.
Take a look and see if you come out with the same take as your colleague.

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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