In a message dated 11/16/2004 12:08:26 AM Eastern Standard Time, [log in to unmask] writes: I got the physio speech and language therapist involved and she has been using her techniques to absolutely no avail to get any sort of suction going on this little moppet. She has tossed the ball back in my court and has said she can't do anything more. I don't want to commit this mother to only gastric feeds of breastmilk at the breast, any suggestions or text books, or references would be greatly appreciated. Dear Friends: What a situation. If the best way this baby can be fed right now is gastric feeds of human milk at breast, please sustain that. What about a pediatric neurologist evaluation of this baby? If a baby can't suck or swallow, only a physician can find out what is going on, not an LC or OT or SLP. Perhaps the cardiac defect is so severe the baby can't sustain the aerobic activity of breastfeeding? warmly, Nikki Lee RN, MS, Mother of 2, IBCLC, CCE Maternal-Child Adjunct Faculty Union Institute and University Film Reviews Editor, Journal of Human Lactation Support the WHO Code and the Mother-Friendly Childbirth Initiative *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html