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Fri, 15 Sep 2006 18:42:13 +0000 |
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When doing some research on test weights, I found a letter to the editor
that commented that we do not know if a swallow is 0.1ml or 1.0ml. I have
noticed when doing finger feeding (where I control the volume) that many
babies swallow with a very small bolus size. I see near-term babies like
this readmitted to the hospital. The strength of their suck improves a lot
when they are re-hydrated. thank heavens for good scales, Rachel Wahl RN
IBCLC
>Date: Fri, 15 Sep 2006 11:06:41 -0400
>From: mathew j goodman <[log in to unmask]>
>Subject: reflexive swallowing?
>
>Hi There,
>I do home visits for first time BF mom's. I see them within the first week
>for one visit. Occasionally I come upon an infant 4 - 5 days old with
>significant weight loss (10% or more), stools less than expected, jaundice,
> and concerning feeding pattern. For these infants I do a pre and post
>feed weight. Sometimes during the feed I will see/hear evidence that the
>infant is swallowing frequently in bursts. Mom offers breast compression
>and the swallowing picks up. " Wonderful " I think.,"Perhaps we have
>turned the corner." Then the post weight will reflect a "whopping" 3cc or
>10cc feed. Sometimes Mom's milk ?? "in" . Sometimes infants are 35ish
>weeks.
>I am led to believe that these infants swallowing reflex is triggered by
>some milk (or saliva) but then they continue to swallow. Non
>nutritive-swallowing? What do you all think?
>
>Valerie Goodman R.N., IBCLC
>Charlottesville VA
>
>mathew j goodman
>[log in to unmask]
>EarthLink Revolves Around You.
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