Darrilyn writes <Bottle feeding in as close to breastfeeding position can
be helpful, but isn't always enough. The only way to hold a baby facing
into the breast, as for breastfeeding, is to eliminate the bottle. The
way I figured out to do this was to thread the feeding tube from a
Lact-Aid or SNS through the hole of a bottle nipple. This has to be done
with a nipple that has only one hole, and where the hole is small enough
to hold the very end of the tube in place, so that no air will be sucked
in around it. The baby can feed from the bottle nipple this way, while in
the exact position for breastfeeding. Mom can expose her breast and
arrange her clothing around the baby's face, just as if the baby was
feeding directly from the breast. It is also important to switch sides
during feedings. In this particular case, I would also suggest that Dad,
or whoever else will be carring for the baby, while Mom is gone, could
also feed the baby with the nipple up against his chest, too. >

I wonder what it would be like to use a nipple shield instead of a bottle
nipple. I once had a mom who needed to switch from finger feeding, but
still used the fingerfeeding equipment under a shield til the baby was
ready for the switch. I know the mom couldn't put the shield directly
over her nipple due to not wanting the baby to get her milk with the
medicine in it, but do you suppose there would be some way, say with
saran wrap over her nipple and the tube stuck into the shield that it
might be easier and more likely to stay in place than a bottle nipple?
Just musing.

Jean
************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

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