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From:
Virginia Thorley <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 18 Jun 2014 07:59:23 +1000
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I agree that syringe feeding is useful, but for a very limited time because
it doesn't encourage suck.  It also doesn't encourage an open mouth. I
recently encouraged a family whose baby was syringe feeding on discharge
home,  to switch to finger feeding prior to a lip- and tongue-tie release.
One of my concerns was that the baby wouldn't learn to open his mouth for
feeding. After the procedure the baby went directly to the breast. No
bottles. Compared with babies who'd been receiving bottles prior to the
procedure, this little fellow seemed to recover faster and we didn't have
the temporary breast refusal that I've been seeing with some babies.
This is just one case, and I shall be following future babies with this in
mind, especially babies of similar ages.
Virginia

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Laurie Wheeler
Sent: Wednesday, 18 June 2014 2:18 AM
To: [log in to unmask]
Subject: finger feeding, syringe feeding

Hi Joni,

I do not have guidelines per se, but I will share some clinical insights if
you don't mind. Generally here at our Level 2 nursery, and for non-latching
or poorly latching babies, we do syringe feeding if *short-term*
supplementation is needed with ebm or formula. If it's going to be
long-term, generally bottle feeding (trying to bottle feed like a
breastfeeding) is used (or lactation aid if baby is latching and supply is
low).

There would be no limit on the number of syringe feedings that are done,
some parents keep at it for a few days or a week, some only a feeding or
two. Usually parents abandon syringe feedings because they are too
time-consuming or, more frequently, the baby is needing and taking 60 mls
instead of 10 mls.

I do discuss with parents how long feeds typically take. I would say 20 or
25 minutes (including bottles, don't give it so fast like 5 minutes!), or
maybe 30 minutes for a premie who is still needing coaching and
encouragement. So, if a syringe feeding is taking 60 minutes, the feeding
method should be re-assessed and find one more efficient for all. My
instructions are to notify the baby's physician if the recommended amount
and time of the feed is not happening. So if I'm recommending 30 mls ebm Q
3hrs, then notify dr if baby is only taking 10 mls in 60 minutes. You get
the idea of course.

Now, let me get to the most important point, which is to say that if a baby
is admitted to LeBonheur (Children's Hospital, Memphis Tennessee USA), then
we have a sick baby, and so any feeding method may take very long. Or not. I
do wonder if soley syringe-feeding for more than a very short-term period,
is developmentally inappropriate for an infant who has a need to suck. Some
LCs would have the baby doing some pacifier sucking then?

Laurie Wheeler RN MN IBCLC -- your neighbor one hour away










Laurie Wheeler | RN | Nursing | BMH-UNION COUNTY
Phone: (662) 538-2395 | [log in to unmask] Opinions expressed above
are not necessarily those of Baptist.



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