Thank you so much for your response Catherine. That is exactly what I was looking for! I had always suspected that NNS was being misapplied to breastfeeding. Or at least it was a poorly chosen term. It really implies that the baby is not getting any food until milk lets down. Which is not true. Mom will likely begin having drops of milk flow immediately. It won't be a fast flow until her milk let's down. How often babies suck and swallow during let down varies too. In the Geddes study they found that varied as well and was not always 1:2 or 1:1, but the babies got enough milk. I have so many mothers focusing on listening for swallows and taking baby off breast when they think baby is "non-nutritive sucking." It's aggravating. Low flow and high flow, I love it. Thank you again.
Tricia Shamblin, RN, IBCLC
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