This is my first post here,and I hope the format is correct. I am working
with a mother who has a nine day old with a condition called DPA (?) in
which the adjustment from fetla heart flow to postnatal heart flow was not
completed. The baby is very small, and does not nurse effectively. Mom has
reasonable concerns about milk supply, and nipple confusion (she is pumping
and giving breastmilk to baby in a bottle). This Mom has seen a local
hospital IBCLC, who confirmed that baby has a good suck, but baby is still
not nursing efectively for more than a minute or so. I suggested switch
nursing, and possibly use of the SNS from the hospital in stead of the
bottle, and of course always nursing before the bottle. Does anyone have
any experience with this. Baby may face surgery, Mom is very stressed, and
I don't want to add more stress for her!

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