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Subject:
From:
Patrica Young <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 12 Mar 2000 06:53:57 -0500
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Dear Darlene, I really agree with what you say about use of shields, early
pumping etc.  Remember the old saying about "walking in someone else's
mocassins".  Many hospital LCs do not have the luxury of time and must do
what works at that moment in that situation.  I think your observation that
some babies only need 2-3 times with the shield and then "figure it out" is
very important.  And you obvivously aren't just handing out shields willy
nilly with no cautions.  I think pumping and finger feeding the very
newborn  is very off-putting to the mom and only separates them,
discourages mom and leads to no BFing within a day or 2 at home.

We aren't right or wrong in using shields in the hospital with proper
guidance.  We are doing what works with that baby and mom at that time.
Several days down the road the LC outside of the hospital is seeing a
different baby and a different mom than the ones a few days before in the
hospital!  Maturation takes place in the baby and in the mom :-)  Mom is
not as fragile as the first day or two, can cope more, can follow
information and tips better.

Also using cup feeding or finger feeding - I see it as a way to get
calories into the baby and/or as a way to correct a problem.  Some suck
"deficient babies" need the milk however you can get it in (cup), then they
figure out how to suck.  Others are sucking ineffectively and need some
"lessons" (Finger feeding).

These are just not either /or situations, so much depends on the
circumstances and reasons for the problem in the first place.  I think we
are lucky to know and use so many more things than we used to. Breast
compression (yes, thank you Jack!) and super thin silicone shields and
SNS's and positioning info and just so many things that we didn't have or
know 30 years ago.  Sincerely, Pat in SNJ

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