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Date: | Tue, 3 Apr 2012 19:09:48 -0400 |
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Perhaps some of Catherine Shaker's work on fostering functional FEEDERS
rather than focusing on each individual FEEDING would help. She's a
speech therapist and has published a lot in Dysphagia.
Catherine Watson Genna BS, IBCLC NYC cwgenna.com
On 4/3/2012 3:59 PM, Melissa Cole wrote:
> Hello colleagues,
>
> I am working with an 2 week old infant that has been diagnosed with
> Hirschprung's (I sent them to the ER after a home visit at day 4 PP when
> parents reported that infant had never stooled or passed mec). Last week
> she had half her colon removed and this week she is beginning oral feeds.
> The hospital wants to see the baby be able to take 3oz feeds within 30 min.
> in order to be discharged. I agree the infant should be able to handle
> almost 20-24/oz intake per day now (she was 10lb 8.5oz at birth), however I
> think that smaller, more frequent feeds (for example 2-2.5 oz 10-12x/day)
> may be a better goal for this dyad. I have been gathering up some
> information for this family to present to their primary caregivers but most
> information available on infant intake guidelines per feed is mostly
> relevant for the first week after birth. If any of you have some useful
> information about small, frequent feeds being more advantageous in this
> case, please send me off-line. I have already presented them with the ABM
> guidelines on supplementation, Nil's Bergman's work from GOLD 2011, etc,
> etc. I am mostly looking for support that the daily intake goal can be
> spread out over some more frequent, smaller feeds rather than the proposed
> "3 ounces every three hours taken in 30 min.". Thank you.
>
>
>
> Melissa Cole, IBCLC
>
> www.lunalactation.com
>
>
>
>
>
>
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