Things were going better today, infant at breast with shield and then
filled up with a bottle, tried the Evenflow Ultra and baby is getting
better with it, collapses the nipple though, a clamper. She is up 2
ounces from yesterday and peed all over me while weighing, so know she
is awfully well hydrated.
Mom was feeling better today too. I had her dump the clock that the
hospital had her watching and she got 6 hours of sleep last night, 2
three hour stretches.
I really enjoyed hearing you at the WALC conference. So I felt a lot
more positive after today's visit. Mom was able to nurse with the
shield and feel that some of it was effective and infant had adapted to
bottle and both parents were happy to stop finger feeding.
Also was able to get infant to open fully today and to extend tongue
fully, so while I think the frenulum might be a bit tight, think it is
manageable. I think some of the tongue issues were adaptive to the
finger feeding and hopefully infant will continue to gain.
Thanks,
Pat
On Mar 8, 2004, at 9:20 PM, Catherine Watson Genna, IBCLC wrote:
> Pat,
> I'd feed this baby in whatever way works best, and let her get above
> birth weight (a pound above, since she's 2 weeks old), then worry about
> her breastfeeding well. Let mom practice bf with the shield a few
> times
> a day, but don't expect it to be a meal. I've never seen tongue
> humping
> as a result of fingerfeeding, mostly it's because of the anatomy -
> tongue is too tight to move the way it should. Babies do change their
> sucking strategies as they go along, to try to find what works.
>
> If she is pushing milk out of her mouth with the bottle, tip the bottle
> more horizontally, to keep the milk under the nipple hole. This way
> the
> baby has to suck to get milk, and will not get flow when she does not
> want it. Remember the cross the lips trick with the nipple - put the
> base of the nipple at the lower lip, the teat tip above the upper lip,
> and hold baby by her shoulders and neck. Let her open wide and tip her
> head back to clear the teat end with her upper lip, and tip the nipple
> into her mouth. This way it is very similar to an active latch at
> breast.
> --
>
> Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask]
>
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