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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