In a message dated 10/11/2005 8:18:25 PM Pacific Standard Time,  
[log in to unmask] writes:

Well,  that viewpoint is inconsistent with the findings noted in the
Breastfeeding  Answer Book, Dr. Wight.  That research indicated that the
baby uses  less energy breastfeeding than bottlefeeding because the baby
can organize  "suck, swallow, breathe" easier at the breast... when the
baby is being fed  with a bottle - and *particularly* when the baby is
being force-fed - the  baby uses a lot of energy to avoid being choked to
death by milk coming out  without the baby actually sucking it out.  I'll
be glad to type in the  references if you like... but they're in the BAB's
chapter on breastfeeding  a premie... page 299 in the 3rd edition.




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I think we are mxing definitions and issues.  You and the Answer  Book are 
both correct in that infants, both premies and term infants, ARE more  
physiologically stable with breastfeeding than bottlefeeding.  They have  more stable 
oxygen saturations, etc.  That does not mean that it is  "easier" to breastfeed 
than bottle-feed. The references you cite simply  attest to more stability 
with breastfeeding.  There is no evidence that  babies use at lot of energy 
"avoiding being choked to death".  Bottle-fed  infants consistently consume more, 
so nurses simply assume that it is  "easier".
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP

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