Subject: | |
From: | |
Reply To: | |
Date: | Fri, 12 Nov 2010 01:54:50 -0500 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
I'd be wary of using a nursing supplementer at breast unless mom's milk
production is very low. It would likely be better to nurse very, very
often (every one to two hours during the day, and at least once in the
night) with the baby's head more extended, and the mother reclining so
the baby is more prone.
I agree that this baby is not getting sufficient milk or calories. What
is it with the '10 mins on each breast then give 2 oz abm' advice that
so many pediatricians seem to give for babies of any age? If mom can
pump 3-6 oz, her baby may be able to get what he needs if he can
transfer milk and have access to the breast often enough.
It's likely that the reason the baby does not want any distractions
during feeding is that he needs to concentrate to coordinate swallowing
and breathing due to his tracheomalacia. If he's struggling at the
breast alone, using a supplementer might disorganize him even more and
cause aspiration or feeding refusal. Many babies who are having
swallowing problems would rather sleep than eat. Paced bottle feeding of
pumped milk might work if a supplementer gives too much flow.
Catherine Watson Genna, BS, IBCLC NYC
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|