Hi Bonnie.
You mentioned that she's had a lot of trouble with bottle-feeding, too.  Were feeding troublesome in the hospital?  If not, what has changed?  What bottle is she using now?  I often try a ventaire advanced narrow slow with premies I work with.  It is very slow (sometimes too slow) and it doesn't drip when turned over.  These features make the bottle "feel safe" for most babies.  

As for the breast, I wonder if a) the baby is looking for the silicone texuture of the bottle (a shield may help)  and b) the baby is used to the automatic flow of the bottle (a tube and syringe can start the flow to keep baby interested). 

I have found it common with premies for the baby to fatigue during the feed and/or toward the end of the day.  So bottle and breast for a while might be "normal" till baby has more energy.  I'd also ask the mom how often she feeds her little one.  Where I live, NICU premies are scheduled for 3-4 hour feeds, and this idea always seems to transfer home, even though the baby is beyond the point of sleep for growth.  Mom might have brough the hospital routine home with her, hence the baby may be extra grumpy if the feed isn't just right.  

Maybe you can rule out some of these normal problems before baby is evaluated for oral aversion.  
Amy Peterson

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome