re: nipple shield and SNS

[Guest guest]

I've used the combination both as a way to help baby to latch and keep the tubing in place. For some women, putting a shield on over the tubing is easier than getting the tubing in place on their own. I wish I could have one of the women who use them all day every day in the office every time I show a mom how to use the SNS!

I went to the same conference as Lyla. I just used an SNS Monday and placed it down under, like Diane Wiessinger suggested. The baby's chin helped nicely to keep the tubing in place. I only had paper tape so didn't get to try butterfly bandages, as her photos suggested.

WD

>So, how much success have you all had using these in combination? Difficult >case today with two week old who had little or no interest in the very flat, >almost inverted nipple he was offered. Used a smaller sized shield, which >he latched onto with little or no vigor -- few suck, then off again, on again, >etc. Very frustrating. Added a tube feed and tried outside the shield and >inside the shield to increase the flow for this little guy who is used to the >quickness of bottle. It didn't make a huge difference, but slight. Mom has >maintained milk supply with PinS (!?) but baby has been bottlefed EBM most >of the two weeks. I am just not sure where to go next with this.... Does this >combo work for you? Thanks, Ann

[Guest guest]

Dear Lyla,

Would you mind sharing which bottles were recommended in the Gromada

seminar?

~ Tingzon

>

> i have also used this combo successfully, with moms whose babies

were not willing to latch AND needed a little extra while mom built

up supply. but i just attended a great session at a conference by

karen gromada about bottle nipple flow rates and using a bottle to

transition to breast. her LC group studied a bunch of the top

selling " slow flow " bottle nipples by hooking htem up to a

breastpump - only TWO were ACTUALLY slow flow - and correct flow -

one had almost no flow without significant pressures, the rest were

very rapid flow once baby (pump) got sucking - holding them upside

down did not indicate the flow once hooked up to the pump.

>

> so, i am coming around to thinking that if using a REAL slow flow

nipple and using baby led feeding approach to bottle feeding, with

breaks to simulate breastfeeding and semi upright positioning, etc.,

that perhaps for the overwhelmed mother, who may need to supplement

for more than a day or two, bottles might preserve breastfeeding as

well as, or better than, an sns.

>

> of course one needs to keep the baby interested in the breast,

with lots of skin to skin. i also have moms who *prefer* the SNS

which i really like because of the baby controlled volume aspect

(unless they are siphoning...) or finger feeding and prefer to avoid

bottles.

>

> warmly, Lyla

>

>

> [sPAM] nipple shield and SNS

>

>

> I used this technique twice in the hospital recently with really

> great success. The first was on a baby who was very deeply

> suctioned for meconium after delivery, slept for 10 hours and

would

> scream and arch and then clamp down hard if you tried to latch

him.

> Parents were great, held off visitors and did skin to skin all

day.

> Allowed him to come to the breast and receive something in his

mouth

> on his own terms. No pacifiers, no bottles, no oral stimulation.

> Infant self latched and then fell asleep. Did this for a number

of

> hours then started having problems with temp and blood sugar.

Tried

> sns but he wouldn't suck, tried shield but he sucked once and

then

> pulled off. Tried both together out of despiration with great

> success. Baby only would nurse with these for the first few days.

> Worked with a PPLC at home after discharge who was able to stop

sns

> after milk came in and is working on shield but infant is at

breast

> and healthy, strong, and parents happy.

> 2nd baby just recently, 36 hours with no nursing until mom given

> nipple shield by night shift, nursed great x8 hours, then

> successively worsened until screamed at breast. Hand expressed

and

> cup fed x8 hours. I saw them in the morning, infant extremely

> sleepy, no wet or poop diapers, very jaundiced. As last resort

> before bottle used sns with shield-infant did great! Successively

> improved over next 24 hours, mom's milk came in, now nursing only

> with shield, plan to work on removing shield tomorrow.

>

> It's a lot of gadgets for mom to handle both physically and

> emotionally so I really only use this a last resort. Dad or SO

must

> really be on board to help but it does work for me.

>

> Hope this was helpful!

>

>