okay, I am going to stick my foot into this arena. What matters in the
long run that the mother is happy with the process of restoring the
babies health. Usually with FTT these babies suck horribly. Mothers
during and after birth these days are bombarded with so much. They are
physically and mentally exhausted. Adding a shield over a tube can
unglue a family that is already feeling badly about the FTT diagnosis
and on the borderline about breastfeeding.. Even figer feeding if it is
going to be more than a day or so. I have had families with later
children needing supplemetation state up front NO finger feeding.
Certainly every family deserves to hear all the variety of ways a baby
can be supplemented and they can choose what works best for them(spoon,
cup,dropper, finger, tube, bottle, dental syringe + more). However a
baby with FTT must be supplemented in a timely manner. They do not have
the extra calories to burn. A bottle supplement for a few days is not
the enemy, lack of breastmilk/calories is the enemy So I use what is
called the rules of "F's"
First FEED the baby
Keep Feedings Friendly (ie the "Work" of feeding should be done in about
45 min)breast time+supplement + maternal milk expression- then they can
snuggle, rest and enjoy each other until the next feeding.
Keep the breastmilk Flowing - until there is adequate transfer the
mother must pump and express to rebuild her milk supply.
Encourage the Family that everthing is Fixable as long as the Family
Follow-up with IBCLC care. ( with pre/post weights to wean supplement
and correct any latch issues)
Best Regards
Karen Querna RN, BSN, IBCLC
Spokane WA USA
LACTNET automatic digest system wrote:
>There are 2 messages totalling 89 lines in this issue.
>
>Topics of the day:
>
> 1. spoon feeding
> 2. SNS/FTT
>
>Lactnet Archives are at:
>LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
>To Manage your Subscription, ie go nomail, index, etc, go to:
>http://peach.ease.lsoft.com/archives/lactnet.html
>
>Thanks- Kathleen Bruce, Kathy Koch, Rachel Myr,
>Melissa Vickers, Karen Zeretzke, Karleen Gribble, LACTNET Facilitators
>
>Questions to [log in to unmask]
>
> ***********************************************
>
>To temporarily stop your subscription: set lactnet nomail
>To start it again: set lactnet mail (or digest)
>To unsubscribe: unsubscribe lactnet
>All commands go to [log in to unmask]
>
>The LACTNET mailing list is powered by L-Soft's renowned
>LISTSERV(R) list management software together with L-Soft's LSMTP(R)
>mailer for lightning fast mail delivery. For more information, go to:
>http://www.lsoft.com/LISTSERV-powered.html
>
>----------------------------------------------------------------------
>
>Date: Sun, 1 Jan 2006 19:38:05 -0800
>From: Seema Karki <[log in to unmask]>
>Subject: spoon feeding
>
>Dear Lactnetters,
>
> I am finding spoonfeed very easy at the hospital when mom don;t have whole lot during pumping.
>
> I am requiring a policy, procedure etc about it.
> Does any body have it ready??
>
> would you pelase share, you can e-mail me at [log in to unmask]
>
> thank you,
>
>
>
>Seema Karki,RN, Mother to 3
>Nursing momma
> New IBCLC
>The only way to nurture your baby ....is .....breastfeeding.
>
>
>
>
>
>
>
>
>---------------------------------
>Yahoo! Photos
> Ring in the New Year with Photo Calendars. Add photos, events, holidays, whatever.
>
> ***********************************************
>
>To temporarily stop your subscription: set lactnet nomail
>To start it again: set lactnet mail (or digest)
>To unsubscribe: unsubscribe lactnet
>All commands go to [log in to unmask]
>
>The LACTNET mailing list is powered by L-Soft's renowned
>LISTSERV(R) list management software together with L-Soft's LSMTP(R)
>mailer for lightning fast mail delivery. For more information, go to:
>http://www.lsoft.com/LISTSERV-powered.html
>
>------------------------------
>
>Date: Sun, 1 Jan 2006 22:28:23 -0600
>From: Diane Perrone <[log in to unmask]>
>Subject: Re: SNS/FTT
>
>I would strongly encourage trying to supplement the baby in question
>with an SNS. I would try it alone and, if milk transfer was still poor,
>I would place it under a nipple shield. My theory is that this may help
>baby lay the tongue down under the shield and latch deeply for better
>milk transfer. In my experience, babies who get EBM by bottle often
>pull their tongue to the back of their mouth to try to control the flow.
>I have seen this even with so-called 'slow flow' bottles and nipples.
>When they attempt to breastfeed, these babies either don't latch deeply
>or they don't lay their tongue down and mother experiences pain and
>nipple trauma. Either way, baby gets very little milk for their effort.
>
>If mother is nearing exhaustion, the SNS can be used as a finger feeder
>and the user can assess suck and tongue position while using the SNS.
>
>Diane Perrone, RNC
>Materna Wellborn
>Algonquin IL USA
>
> ***********************************************
>
>To temporarily stop your subscription: set lactnet nomail
>To start it again: set lactnet mail (or digest)
>To unsubscribe: unsubscribe lactnet
>All commands go to [log in to unmask]
>
>The LACTNET mailing list is powered by L-Soft's renowned
>LISTSERV(R) list management software together with L-Soft's LSMTP(R)
>mailer for lightning fast mail delivery. For more information, go to:
>http://www.lsoft.com/LISTSERV-powered.html
>
>------------------------------
>
>End of LACTNET Digest - 1 Jan 2006 (#2006-3)
>********************************************
>
>
>
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
