Hello, I haven't posted in a while and have been trying to keep up with
Lactnet posts... anyway I was looking over the information you can
access from the Walmart seminars... "tilt the bottle so that the formula
fills the nipple. This helps keep air out of his stomach."  

 

Where on earth is the thought process on this one? If we tilt a bottle
of liquid back so that if flows freely into our mouths we chug or gulp
it and then burp or need to from all the air that we gulped down with
it.  ( ok not a scientific thought process but a practical one) 

 

One of my biggest pet peeves is how the Level II nursery staff feed
these little tiny or sick babies with "working" their mouths and or
tilting the bottle back so that baby gets it all "easier"  I am almost
blue in the face from the discussions with them about this...   I come
off sounding like a nut case to parents when I instruct them on paced
bottle feeding for the babies sake and to facilitate transition to the
breast. But even beyond breastfeeding (dare I say there is anything
beyond breastfeeding) isn't paced bottle feeding better on their
system?... helps them to coordinate their suck pattern better, reduces
the air in the stomach. My favorite paced feeding is the nipple half
full method, however I usually let the parents decide if that or
slipping the bottle to the lips every 3-5 sucks is more comfortable for
them.   

 

I am curious how many babies aspirate with these feedings and end up
spending more time in the hospital defeating the purpose of the staff's
philosophy that babies have got to "bottle" well therefore be discharged
sooner.   And still other babies at home who are never really taught to
bottle feed ( because for some reason THIS is natural... just stick the
nipple in the babies mouth)... how many of them have GI issues, or upper
respiratory as a result.   

 

I have a coworker whose daughter was formula feeding (didn't even want
to  try with second, she breastfed her first for several months)  Mom
ended up having some back surgery and grandma took care of baby for a
few weeks. The grandma was concerned because baby was spitting up so
much and just screamed after every feeding.  They'd tried gas drops and
the doctor was considering testing for reflux.  I did a quick look at
baby when he was visiting at office, and baby is tongue tied. I talked
to grandma about that and the bottle feeding and pointed out a few
things, showed her paced bottle feeding. The results were almost
instant. Infant did not spit up anymore (rare occasional as all babies
do)  and the fussiness began to subside quickly, within a few days he
was a different baby.   Didn't get that baby breast milk, which is a
shame, but maybe saved baby from reflux testing or medicines, not to
mention his poor aching tummy.   

 

 

 


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