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Subject:
From:
"Catherine Watson Genna BS, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 3 Apr 2012 19:09:48 -0400
Content-Type:
text/plain
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text/plain (62 lines)
Perhaps some of Catherine Shaker's work on fostering functional FEEDERS 
rather than focusing on each individual FEEDING would help. She's a 
speech therapist and has published a lot in Dysphagia.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com


On 4/3/2012 3:59 PM, Melissa Cole wrote:
> Hello colleagues,
>
> I am working with an 2 week old infant that has been diagnosed with
> Hirschprung's (I sent them to the ER after a home visit at day 4 PP when
> parents reported that infant had never stooled or passed mec).  Last week
> she had half her colon removed and this week she is beginning oral feeds.
> The hospital wants to see the baby be able to take 3oz feeds within 30 min.
> in order to be discharged.  I agree the infant should be able to handle
> almost 20-24/oz intake per day now (she was 10lb 8.5oz at birth), however I
> think that smaller, more frequent feeds (for example 2-2.5 oz 10-12x/day)
> may be a better goal for this dyad.  I have been gathering up some
> information for this family to present to their primary caregivers but most
> information available on infant intake guidelines per feed is mostly
> relevant for the first week after birth.  If any of you have some useful
> information about small, frequent feeds being more advantageous in this
> case, please send me off-line.  I have already presented them with the ABM
> guidelines on supplementation, Nil's Bergman's work from GOLD 2011, etc,
> etc.  I am mostly looking for support that the daily intake goal can be
> spread out over some more frequent, smaller feeds rather than the proposed
> "3 ounces every three hours taken in 30 min.".  Thank you.
>
>
>
> Melissa Cole, IBCLC
>
> www.lunalactation.com
>
>
>
>
>
>
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