In a message dated 1/22/2005 6:21:45 P.M. Eastern Standard Time,  
[log in to unmask] writes:

I am  interested to know how  other hospitals are offering supplements to 
there  infants.>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

in a hospital w/~ 30 births a day: ......if bottle nipple hopefully NUK  
type, occasionally cup or finger, but only in some situations, (gavage  would be 
in NICU for babies not allowed to feed otherwise yet), 
 
......but increasingly the method is *at breast* w/5fr feeding tube  
w/syringe or bottle attached, sometimes with a curved tip syringe  at breast, 
....teaching these skills to staff is done in orientation and  inservices and 
one-on-one.
 
....if cannot latch, 5fr at shield would be a better option  than bottle 
nipple as long as mom/parents are accepting of this and most  often they are, 
....................
 
Just this week one of the neonatologist that I had not even met  yet *ran* 
down the hall behind me to catch me as I was  leaving a family centered care 
unit to ask me to teach a mom  how to supplement *at breast* before she would be 
taking her baby home. 
 
 

Debbie  Tobin
RN BSN IBCLC LCCE
_LCAGW.org_ (http://www.lcagw.org/) 
Co-VP 
Springfield, Virginia USA
In the  Fairfax County suburbs outside the Washington DC beltway

_BestBreastfeeding.Info_ (http://www.bestbreastfeeding.info/) 

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