Regarding post from "[log in to unmask]" 
>Subject: premie feedings 
>.........I am working with a mom who delivered twins at 35 4/7 weeks
>gestation. The baby who is causing concern is a little girl--her >brother,
the bigger twin is doing quite well. 

>.........The mom has tried directly at breast and with a nipple shield.
>The baby has a good suck--just cannot sustain it and seems to lose
>interest more and more quickly.

Have you tried a SNS or syringe/feeding tube at the breast? I've had good
results with getting some instant flow to baby by tucking the tube under the
nipple shield and letting the milk trickle in-- may keep baby's interest
longer and help get things going.

This is also a good way to get that "extra" fortified milk (that the MD is
certain most premies need) into babies without doing it by bottles.

Lori Salisbury RN IBCLC 
(LC at Sacred Heart Medical Center in Spokane who's finally back on Lactnet
after being no-mail for awhile) 

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