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Date: | Tue, 4 Apr 2006 20:03:22 EDT |
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In a message dated 4/4/2006 7:31:02 P.M. Eastern Standard Time, Tamara
writes: "In my experience I see one and two day old babies suckling only on the
tip of the nipple shield and giving the mother no or very little breast
stimulation and then the baby doesn't eat and learns how to suckle incorrectly.
Mothers then thinks the baby is eating which is dangerous."
I think this requires education, not labeling the tool itself as bad. I see
babies learning incorrect latch and suck with direct breastfeeding too!!
We fix shield use the same way we fix breastfeeding directly -- with education
and practice for mom and instruction on how to know baby is getting enough.
I see moms using their pump wrong after the staff started it during the
night. I don't discontinue the pump and label it as a bad tool, I teach correct
use and have the mom practice. I don't take the pump away from the staff
use. I use creativity to try teaching the staff nurses yet again how to use the
pump correctly because I don't want moms and babies to have to wait until
the next LC visit. Any tool used incorrectly has the potential for problems.
That doesn't mean we shouldn't use the tool. It is why a skilled IBCLC
should also see mothers in addition to the regular nursing staff and provide
on-going staff education.
And, there are times when a baby can't maintain latch and suck well even
with the help of a correctly used shield. That's when I agree that it is time
to adapt the plan again and do something else!
Natalie Shenk, BS, IBCLC
Findlay Ohio
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