Just musing a bit on this rainy Saturday morning ...
I think for a nipple/bottle system to mimic a breast somewhat, the nipple should not be hollow, but solid. Not rock solid, but filled, like for instance the substance of a stress ball. The actual nipple part should be rather long (as it will not be able to stretch like a real nipple) and the ''areola'' part should be quite firm, but pliable and rounded and about an inch cross section.
With a solid nipple there obviously should be ''milk ducts'' to get the milk from the bottle to the baby. The bottle could be pliable as well, so the feeding person could squeeze it a bit to make a milk ejection reflex.
My, it sounds like I'm describing a breast surrogate ...
Would be really hard to clean, I guess.
Perhaps if we just stick to some generic bottle/nipple system with slow flow and use paced bottle feeding?
warmly,
Gonneke IBCLC in PP, LC lecturer, writer, musing in rainy and gray Southern Netherlands
Twitter @eurolacpuntnet
>________________________________
> From: "[log in to unmask]" <[log in to unmask]>
>To: [log in to unmask]
>Sent: Saturday, January 21, 2012 1:54 AM
>Subject: Re: in light of all the discussion about Calma, and Breastflow
>
>Jessica writes:
>
>Has anyone done any testing (or have any experience) with the First Years
>Breastflow nipple? The name, of course, got my attention at Target and it
>appears to have a similar design of flow control as the Calma, but it's
>actually very soft and the nipple part is shorter. Has anyone seen it in
>action?
>And Cathy responded:"I've used the Breast Flow nipple sometimes for babies
>who needed to learn to increase their suction. It is a relatively
>'difficult' bottle, and many babies with feeding difficulties can't get milk from
>it. Using it as a stepping stone to breastfeeding has worked for several kids
>with significant feeding problems in my practice."
>
>~~~ That's been my experience as well. Most of the babies I've offered it
>to weren't able to move milk effectively, as Cathy says it's a difficult
>system, and for these babies that was too hard. For babies without feeding
>issues, I don't know, since I don't work with them. Many babies seem to clamp
>down really hard on it, rather than be more relaxed, which seems
>counterproductive to normal feeding at breast .Each time one of these "new
>research-based" assistive feeding device systems comes out, there is always
>something that just doesn't come close to matching actual breastfeeding, as in
>this case, no bottle, no fingerfeeder, no cup has the elasticity and need to be
>drawn in and held gently with negative suction pressure, like mom's
>breast. I agree with Cathy, that the questions a research study fails to ask
>can be just as important, or even more so, than the ones they do think to
>ask. It's good for us to know which systems offer which
>advantages/disadvantages combination for each individual mother/baby dyad.
>
>Peace,
>Judy
>
>Judy LeVan Fram, PT, IBCLC, LLLL
>Brooklyn, NY, USA
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