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Subject:
From:
"Pam Hirsch, RN, BSN, CLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 17 May 2005 09:23:52 -0400
Content-Type:
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Hi, Yulanda:  I have used this simple and inexpensive method for years.
When one works in a hospital, necessity is the mother of invention - SNSs
are just way to expensive!  I can recommend a couple of things that make
this method of supplementing even easier.  Rather than cutting off the
entire tip of the bottle nipple, I use a sharp pair of scissors to cut a
small slash in the top of the nipple, just big enough to thread the feeding
tube thru.  This way, if the bottle tips over, there is no spillage.  I
also tell the mom she can set the bottle on a table next to her, on her lap
(as in the video) or she can even put it in her bra, between her breasts.
This last also allows the milk to be brought to body temperature.
I have been having some serious talks with the medical and nursing staffs
re: syringe feedings.  The feeling seems to be that the LC "likes" those
who recommend syringe supplementation over bottles.  "See how supportive I
am of breastfeeding?"  I cringe when I find that a mom has been told to
syringe feed the baby.  Inevitably, I find a baby who now lays in mom's
arms waiting to have his feeding poured into him.  And the longer syringe
feeding goes on, the more passive the baby becomes. And parents hate it.  I
saw a mom in the office on Friday and both her and her mother (who had been
helping with feedings), literally start crying when I told them they didn't
have to use a syringe.  The pediatrician had told them to supplement the
baby this way.  They went home much happier with a lactation aid.  When he
is brought to the breast - oh, my - now we have a battle ensuing.  I have
sometimes had to resort to not only the feeding tube device, but also a
nipple shield to convince some babies that there is indeed a nipple and
milk flow at the breast.  I call these babies "Happy Meal" babies - instant
nipple, instant food (Happy Meals are McDonald's meals for kids).  To add
to Dr. Newman's statement about baby/mom learning to breastfeed.  I have
been telling moms for 25 years - baby learns nothing about breastfeeding
laying in a crib!
Sorry about the length, but I feel very strongly that what method of
supplementation and the type of milk used is a decision to be made by the
mother, with assistance from her HCP/LC.  What do we need to be doing to
put baby to breast?

Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

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