In a message dated 10/11/2005 11:18:22 PM Eastern Daylight Time,  
[log in to unmask] writes:

Hate to  burst your bubble, but as breastfeeding is an ACTIVE effort on the   
part of the infant, and not just someone force-feeding with a bottle, it  
does  
take more energy on the baby's part.  I know NICU nurses  who can  
bottle-feed 
a rock.  Repeated studies have shown that  premies of any age  will take more 
from the bottle than at breast -  even with excellent lactation  support and 
help.   



Dear Friends:
    I am confused, and wonder if Dr. Wight will  clarify.
    I understand from Paula Meier's work, that bottle  feeding lowers 
temperature and oxygen saturation, and is more stressful for the  infant. I also 
understand that breastfeeding is an active process, both on the  part of the 
infant (who is physiologically equipped to coordinate  suck/swallow/breathe at 
breast) and on the part of the breast (that ejects  milk). 
    How to reconcile these two concepts? How can  breastfeeding be less 
stressful AND require more energy?
    A SLP that I did a short internship with said the  difference came from 
s2s. I have designed a study that no one will do, where a  bottle-feeding 
mother could feed her premature infant (being monitored)  sometimes with standard 
bottle-feeding style (both clothed) and and sometimes  s2s. That way, each dyad 
would serve as their own control, and the vital signs  of the baby could be 
observed to note any difference. 
    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
www.breastfeedingalwaysbest.com

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