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Subject:
From:
Margie Forrest <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 28 Apr 2006 07:32:05 EDT
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Karen,
 
Rather than using the expensive SNS on our unit, I have been using the  
set-up I saw in a lecture by Dr. Jack Newman many years ago. I don't have a  
picture, but will try to describe so you can "see" it.
 
We use a #5 fr. feeding tube with a bottle of formula (or mother's milk, if  
we have it). The feeding tube acts like a straw running from the bottle to the 
 mother's nipple. The height of the bottle determines how fast the flow will  
be.
 
I first cut an X in the top of the bottle nipple. 
Push the feeding tube tip up through the X and out the top, leaving just  
enough tube to dangle into the bottle
Screw the nipple onto the bottle, making sure your "straw" is  submerged.
 
Get mom and baby into position, then tuck the bottle in where ever it will  
fit snugly. Latch baby to breast, then tuck the end of the feeding tube into 
the  side of baby's mouth. (make sure all the little holes toward the end of the 
tube  are in baby's mouth... if there is an open one, there won't be any 
suction). As  baby begins to suckle, you will see the formula (or mother's milk) 
being drawn  up the tube. There is a definate difference in suckle once the 
liquid reaches  baby! Mom's also feel the coolness on their nipple. 
 
If you are working with sick premies, you could use a fresh feeding tube  
each time. If not, wash it out and replace with a new one every 12 or 24  hours.
 
We really like this on my unit. The moms like it, because it is obviously  
temporary, fairly easy to use, and cheap.
 
Hope this helps.
 
Margie Forrest, RN, BSN, IBCLC
The Lactation Corner @ Palms West  Hospital
Loxahatchee, FL

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