Linda Hill RN, IBCLC wrote:I was mulling around different names for this
and came up with an acronym for PACE: Paying Attention to their Cues
while Eating. :-)

I love the use of the term: " tsunami effect". ;-) And just a word about

the cross cut nipples. Have you ever seen the AR (added rice)formula?
It's almost like a thin pudding consistancy. The babies with severe
reflux or other feeding/swallowing disorders may need these "thickened"
feedings to keep down their meal or to be able to swallow correctly.
Even when "simply thick" is added to expressed breast milk - you need a
faster flowing bottle to help with the delivery. So there is a need for
the cross cut and faster flowing nipples. 

Linda - I LOVE your acronym!!!!  You should have done a copyright.  

I wanted to mention that the AR formula is not actually thickened in the
liquid.  It thickens AFTER it enters the stomach and mixes with a
certain acidic pH range.  Just fyi, if the infant is on a med like
zantac, it will alter the pH and the AR does not thicken or do any good.
I have not seen a lot of success myself .  It does not require any
different nipples as when thickening with cereal or the other
thickeners.

Angie Kirkwood RN, BSN, IBCLC, RLC

Nurse Feeding Specialist and Certified Lactation Consultant, Children's
Hospital of Pittsburgh of UPMC



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