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Supplemental nursing systems - Newman style

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Hi ladies,I have not used Dr. Newman’s set up for supplementing at the breast and wanted to know more details or helpful hints. 1. I know the tube is 5 french, but what length? 15”, 36”? The tube in Newman’s video seems very long.2. Also, What do you put over the bottle to keep the tube from slipping out? His assistant was holding the bottle & tube and raising to various heights, so I didn’t know if there was a way to secure the tube and contents so they can be handled more independently by the mother.3. Do you have the SNS and Newman’s set up for your clients? Do you find some women may prefer the old stand by SNS?4. Do they still make the other brand of SNS? I can’t remember the name, I was thinking it was called Lactaid??? Thanks in advance for your help. Just trying to figure out how best to fill my bag of goodies. The long-term SNS is so expensive!! June , RN, IBCLCOhio

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I always used the 36, as the 15 seemed way too short to be able to flexible with baby’s position, and more importantly, the bottle position.

you snip a hole in the bottle nipple (or I did) and thread the tube through it – more like a slit than a hole, and it keeps it secure.

some do prefer the sns, especially for longer term supplementation, but for just a few days, most were fine with the newman one. and the newman one has the added advantage of not dripping/needing to be clipped off, etc., since it’s upright like the lactaid.

which brings me to your last question – yes the lactaid is wonderful for bfar women, or adoptive breastfeeding, or any other long term supplementation. it’s too expensive, and a bit labor intensive for most people to prefer it for short term (days or weeks) supplementation.

warmly, lyla

From: and June

Sent: Tuesday, January 25, 2011 7:20 AM

To:

Subject: Supplemental nursing systems - Newman style

Hi ladies,

I have not used Dr. Newman’s set up for supplementing at the breast and wanted to know more details or helpful hints.

1. I know the tube is 5 french, but what length? 15â€, 36â€? The tube in Newman’s video seems very long.

2. Also, What do you put over the bottle to keep the tube from slipping out? His assistant was holding the bottle & tube and raising to various heights, so I didn’t know if there was a way to secure the tube and contents so they can be handled more independently by the mother.

3. Do you have the SNS and Newman’s set up for your clients? Do you find some women may prefer the old stand by SNS?

4. Do they still make the other brand of SNS? I can’t remember the name, I was thinking it was called Lactaid???

Thanks in advance for your help. Just trying to figure out how best to fill my bag of goodies. The long-term SNS is so expensive!!

June , RN, IBCLC

Ohio

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I use a 5fr 16 " feeding tube. I take a bottle nipple and make a hole large

enough to pass the feeding tube through, then screw the nipple (with the feeding

tube in) onto the bottle. Advance the tube to the bottom of the bottle (like a

straw). I usually either hold the bottle myself or tape it to mom's shirt.

I like starting off with the inexpensive feeding tube method to see how it feels

for mom, how baby does, etc... -- they can order the pricey lact-aid or SNS if

they choose to at that point. I don't think it would be convenient for long term

use, but it is a nice way to introduce the idea and get a feel for how it will

work for the couplet.

Best,

>

> Hi ladies,

>

> I have not used Dr. Newman's set up for supplementing at the breast and

> wanted to know more details or helpful hints.

>

> 1. I know the tube is 5 french, but what length? 15 " , 36 " ? The tube in

> Newman's video seems very long.

>

> 2. Also, What do you put over the bottle to keep the tube from

> slipping out? His assistant was holding the bottle & tube and raising to

> various heights, so I didn't know if there was a way to secure the tube and

> contents so they can be handled more independently by the mother.

>

> 3. Do you have the SNS and Newman's set up for your clients? Do you

> find some women may prefer the old stand by SNS?

>

> 4. Do they still make the other brand of SNS? I can't remember the

> name, I was thinking it was called Lactaid???

>

>

>

> Thanks in advance for your help. Just trying to figure out how best to fill

> my bag of goodies. The long-term SNS is so expensive!!

>

>

>

> June , RN, IBCLC

>

> Ohio

>

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What brand of tube do you use or where do you buy them? I see some of them are made with PVC, that’s scary. They just recently took that out of teethers due to the toxins in that type of plastic.Also, do you bring your own bottles or use the ones that the mother may already have?Thanks,June , RN, IBCLC From: [mailto: ] On Behalf Of ibclcismeSent: Thursday, January 27, 2011 3:01 PMTo: Subject: Re: Supplemental nursing systems - Newman style I use a 5fr 16 " feeding tube. I take a bottle nipple and make a hole large enough to pass the feeding tube through, then screw the nipple (with the feeding tube in) onto the bottle. Advance the tube to the bottom of the bottle (like a straw). I usually either hold the bottle myself or tape it to mom's shirt. I like starting off with the inexpensive feeding tube method to see how it feels for mom, how baby does, etc... -- they can order the pricey lact-aid or SNS if they choose to at that point. I don't think it would be convenient for long term use, but it is a nice way to introduce the idea and get a feel for how it will work for the couplet.Best,

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I'm curious about this, too, because I looked like an idiot the first couple of times I recommended this.  None of the pharmacies in Kirksville know what #5 Fr tubing is!  I have to call it butterfly tubing, but I'm not even sure that's quite the same thing, as far as being food-safe, etc.

Lynn IBCLC

 

What brand of tube do you use or where do you buy them? I see some of them are made with PVC, that’s scary. They just recently took that out of teethers due to the toxins in that type of plastic.

Also, do you bring your own bottles or use the ones that the mother may already have?Thanks,

June , RN, IBCLC 

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Hi Lynn,

There's more discussion on the use of and sources of these tubes if you search

the message archives. I ordered the Kendall #155721 36-inch 5 Fr. tube in bulk

from www.grogans.com. I also ordered BD 10 ml syringes to clean the tubes

I suggest that the mom use the tube in the bottle a few times and if it works

well to then get an SNS. My question to all of you is do you have the mom

re-use the tubes and if so, how do you instruct her to clean the tubes between

uses?

Thanks in advance,

Ellen Maughan

Highland Park, NJ

>

> >

> >

> > What brand of tube do you use or where do you buy them? I see some of them

> > are made with PVC, that's scary. They just recently took that out of

> > teethers due to the toxins in that type of plastic.

> >

> > Also, do you bring your own bottles or use the ones that the mother may

> > already have?

> >

> > Thanks,

> >

> > June , RN, IBCLC

> >

> >

> >

> > *

> > *

> >

>

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