Re: Breast refusal with very youg baby

[Guest guest]

Thank you, . This mom is very clear now that baby needs to eat alot to

catch up, he's back on the breast, she understands she should feed when before

she would give a paci. Mom is lucky to have a robust milk production and no

injury to nipples - but perhaps baby's slow weight gain would have been caught

and corrected sooner if mom had those problems. Thank you again for always

sharing your knowledge and experience.

best,

>

> Dee:

>

> While I agree with you that the SNS may not help improve this baby's suck and

it is CLEAR that the PTT absolutely needs to be addressed and if the grunting is

significant that needs to be assessed too -- the most striking elephant in the

room in this picture is the poor growth. In all likelihood the PTT lead to the

poor growth and the baby probably won't feed well no matter what unless that is

fully addressed -- but such a significant drop in the weight velocity ALSO can

exacerbate a poor suck. This is not merely a " growth spurt " this is " poor

growth " .

>

> Sometimes an SNS may not help the suck at all and I am not at all sure that it

will help this baby and it may even be worse for the baby than a bottle. On the

other hand, it may help the baby feed more comfortably if used in a skilled

manner with careful attention to the flow for a different purpose -- getting

more milk into this very slow gaining baby.

>

> Best regards,

> E. Burger, MHS, PhD, IBCLC

>