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Subject:
Re: SNS after breastfeeding
From:
"Catherine Watson Genna BS, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 29 Jan 2014 16:42:34 -0500
Content-Type:
text/plain
Parts/Attachments:
text/plain (45 lines) 
That's a long time to be feeding ineffectively. Baby is likely to be
exhausted before the supplement is given. I'd teach mom to recognize
swallowing, and as soon as baby stops swallowing after every 1-2 sucks,
switch breasts, then once the baby stops swallowing after every 1-2
sucks, add the supplement. This way as the baby has the energy/ability
to transfer more milk, mom waits longer to give supplement, but if the
baby isn't able to really transfer milk, the 'practice at the bare
breast' part of the feeding is brief.

And have her push the plunger on the syringe! Babies who are not feeding
well usually can't draw down the plunger.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com

On 1/27/2014 11:04 PM, Melinda wrote:
> I have a mom who needs to supplement. Was told to nurse one side for 10-15 min, then nurse on other breast x10-15 min, then switch back to first breast and use SNS ( 5fr feed tube with 20 cc syringe) to supplement.
> My thought is that she could save time and maybe keep babe interested at breast if  SNS was used from the onset of feeding. Mom was concerned baby would get satisfied too quickly and not go to second breast.
> Thoughts?
> Melinda Harris Moulton
> IBCLC ARNP
> Olympia, WA
>
> Sent from my iPad
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