Susan writes:

5) The  final labeling that drives me nuts is the labeling of flow rates by 
baby's  age.  This is designed to fool parents into buying more nipples and  
thinking that it is healthy for their baby to "develop" into guzzling down  
their food faster.  Now, think of all the eating  disorders we see  in the United 
States.  In watching baby's eat, I think the forced rapid  feed has a lot to 
do with setting up abnormal feeding patterns.  But  mothers will buy the next 
age range of nipple for their baby because they want  to think their baby is 
progressing.


I seem to be a few days behind, but I just had to chime in on this one: A  
light bulb somehow went on, when a few  months ago I heard myself  saying to a 
mother: your breasts are not flowing faster because your baby is  older, so why 
should a bottle? Often caregivers are putting pressure on a mother  to "help" 
the baby who is "fussing" if it takes more than 5 minutes to have  their 
bottled lunch of mother's milk. Doing damage control has become so much a  part of 
what we do when we try to help breastfeeding families, families who have  
fallen for the advertising, bought the expensive, green, fancy bottles, and have  
babies guzzling, losing milk ( which means mom has to pump more to make up 
for  the loss),  and getting either more passive, or actively reactive,  
protecting their airways, during feedings. These are often babies whose suck is  so 
poor they cannot even move milk from a supplementer system, and really need  
calories badly but safely( like the baby who was 15% below birth weight at 2.5  
weeks of age, despite being at breast nearly constantly) I would venture to 
say  that if a baby is being supplemented by bottle when I get there, 99  times  
out of 100, the baby is feeding poorly on the bottle the mom has bought/was  
given. Sometimes they feed poorly with any feeding assistive device, both  
oftentimes we can really help a baby feed more comfortably, and more safely, and  
develop less problematic behaviors transitioning to breast, by getting away 
from  the expensive, fancy, often undermining systems they have been marketed 
and  sold. 
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA

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