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Date: | Thu, 16 Aug 2007 14:27:41 -0500 |
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I do not recommend Avent anymore because I see too many babies "tip
sucking" on these bottles. I agree that preemies may not remove milk
well on those. The flow is fast also.
I like the old fashioned clear silicone nipples that fit onto a standard
bottle but I can not find the name brands anymore. I can only find the
Wal Mart or Target brands with odd shapes, and I do not know how fast or
slow these are. Some of them have little bumps or nubs to "massage the
gums" that I think must be horrible.
Really bad bottles are the green Soothies that are all the rage down
here because the hospitals use the green pacifier. Baby has to keep her
mouth tight on this bottle and then do not latch wide enough. Munchkins
flow too fast in all three flows. We also have bottles with short tiny
teats called something for premature babies. I think these are horrible,
way too short, and I do have parents using them. Baby tips sucks because
of the shape. It is really made for a hospitalized sized premature baby,
not a discharged sized baby. They come in packets of 3 on the standard
bottles, which I think are 8 ounce sized. Like a preemie needs 8 ounces!
The Breastbottle can work well if you put it together correctly. It is
slower than some and causes less choking than hospital nipples (the only
comparison I have done with one real baby). I did have trouble putting
it together correctly myself.
For babies with problems, especially oral motor problems, the Haberman
Feeder is excellent but expensive.
I am currently suggesting the following, Playtex with the bags but only
the clear natural latch nipple in slow flow, Playtex Ventair wide in
slow flow or the narrow slow flow for that baby in daycare who is
chugging large quantities and needs a very slow flow nipple, Dr. Brown's
either wide or narrow slow flow, and I often use an Evenflow purple and
blue, triangular shaped bottle, in slow flow for preemies (has a wide
base and short teat but a kind of fast flow). The Evenflow is kind of
fast but my clients can not afford the Playtex bags and we'll use this
bottle to get baby to learn to open wide at all feedings. With a
preemie, it has a short enough teat that they can put their lips on the
fat part.
Sometimes available on bottles in packages of three are the old Evenflow
(I think) Comfi with a wide base and short teat that screws onto
standard bottles. I used to use those for preemies before they changed
them and softened them up. Now you can't find the replacement nipples in
packages. But a baby with a small mouth did nicely on these as they
could easily get to the fat part of the nipple. And it fit on the
hospital bottles all my clients have.
Kathy Eng, BSW, IBCLC
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