In a message dated 11/16/2004 12:08:26 AM Eastern Standard Time,
[log in to unmask] writes:

I got the  physio speech and language therapist involved
and she has been using her  techniques to absolutely no avail to get any
sort of suction going on this  little moppet.  She has tossed the ball back
in my court and has said  she can't do anything more.  I don't want to
commit this mother to  only gastric feeds of breastmilk at the breast, any
suggestions or text  books, or references would be greatly appreciated.



Dear Friends:
    What a situation. If the best way this baby can be  fed right now is
gastric feeds of human milk at breast, please sustain  that.
    What about a pediatric neurologist evaluation of  this baby? If a baby
can't suck or swallow, only a physician can find out what  is going on, not an
LC or OT or SLP.
    Perhaps the cardiac defect is so severe the baby  can't sustain the
aerobic activity of breastfeeding?
    warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
Support the WHO Code and the Mother-Friendly Childbirth  Initiative

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