Re: nipple shields - AND MORE From Dana and Jaye

[Guest guest]

I like 30-35 ml if it's for long term... or I stick the other end in a bottle. Also, I have the parents draw up soapy water into the tube w/the syringe, then draw up clean water several times to rinse.. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Re: nipple shields - AND MORE From Dana and JayeTo: Date: Tuesday, May 24, 2011, 9:03 AM

Just keep in mind the nuisance of refilling a 20ml syringe if there is anticipated prolonged use beyond the first 3-5 days.

The bigger syringe is going to be more utilitarian.

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> Whoops you're right. Thanks for the pick up! What about syringes?

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> Dana Schmidt, BS, RN, IBCLC

> Cradlehold, Director

> Breastfeeding Education & Support

>

> www.cradlehold.net

>

> Providing the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and baby

>

> The Diaper Bank is pleased to announce that Huggies will be matching the first 100,000 diapers donated to the organization this spring. www.thediaperbank.org. Please donate today!

>

>

[Guest guest]

I know. I'm a dope and trying to multitask to boot! I wrote to Grogans and asked for 5 and 6Fr!Dana Schmidt, BS, RN, IBCLCCradlehold, DirectorBreastfeeding Education & Supportwww.cradlehold.netProviding the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyThe Diaper Bank is pleased to announce that Huggies will be matching the first 100,000 diapers donated to the organization this spring. www.thediaperbank.org. Please donate today!

I'm curious about the size of a 15 french and a 16 french. Those would be HUGE, IMO. I use a 5 french, 36 inch. Occasionally an 8 french, but most of the moms feel as though the baby drowns with that.

If you don't put the plunger in the syringe, and just use it as a "holder" for the supplement, it functions the same way that the SNS does. The problem is putting the plunger in. The alternative is simply putting the business end in a bottle or cup of supplement and the baby siphons up the supplement when she sucks.

My moms are instructed to flush the tubing (syringe WITH plunger comes in handy here) with cold water first so as not to "cook" the protein, and then with hot water after each feed. I give them enough so they can replace fairly frequently, but I don't know how often they do it. (Fairly frequently being a euphemism for I don't have a clue).

Jan

Any idea how long that feeding tube is? It looks reallllly short to me. I think it warrants mentioning, this is using syringe which IMO does influence the feeding dynamic. This doesn't work the same way a SNS does. I use this approach on occasion, just a heads up for folks who are just reading the description.While we are on this topic, any thoughts about how often your clients are cleaning or replacing the tubing?>> > Hi Everyone> > I finally placed my order for nipple shields with KaWeCo for cherry shaped and conical NS. Please let me know if you are on the East Coast and need some. I'll let you know when they arrive here. I just placed an order with Motherlove. They could not be more helpful. I've contacted Byram for 15Fr and 16Fr tubes but I have not heard back yet. Who knew these would be so hard? Thank you for sending me the info from WA. I called and they were a little baffled that I was asking for supplies to the east coast! I will continue looking for a medical wholesaler. If anyone has a supplier on the east coast, please forward the info for me and I will contact them. I have Hygiea coming tomorrow to start my account going - they also carry Strappies (LOL) and supplemental feeders http://www.hygeiababy.com/product-details.php?pid=29 and http:/ /www.hygeiababy.com/product-details.php?pid=31.> > I will keep you updated as I find out more! Thank you Jaye for helping me to get started! I hope I see some of you at Tow's conference in NJ! > > Dana> > > >> > >> > >> > > > > >> >>

[Guest guest]

The Medela (I know, sorry, it's like saying Voldemort) starter SNS is nice for

this. It's cheaper and it can support a 60ml premix formula bottle.

how long are they re-using the tubing for?

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[Guest guest]

my clients us these very temporarily, so the tubing usually lasts throughout... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject:

Re: nipple shields - AND MORE From Dana and JayeTo: Date: Tuesday, May 24, 2011, 9:16 AM

The Medela (I know, sorry, it's like saying Voldemort) starter SNS is nice for this. It's cheaper and it can support a 60ml premix formula bottle.

how long are they re-using the tubing for?

>

[Guest guest]

it's not based on anything...I just made it up cause it made sense to me, like washing a bottle or pump parts Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- From: ibclc@...

Subject: Re: Re: nipple shields - AND MORE From Dana and JayeTo: Date: Tuesday, May 24, 2011, 9:19 AM

If for long term I too will use the Them Who Will Not Be Named Starter SNS IF the baby is latching quickly and easily since mom has to latch the baby onto the breast and the tube at the same time. Short term I use the 5 Fr 36" feeding tube with a bottle or 30 ml syringe without the plunger.

I would love to know if there is any advantage to using soapy water in the tube vs just cold rinse and hot rinse.

Anyone know? Does the bit of antibacterial whatever in the soap actually do anything for the tubing?

Jan

The Medela (I know, sorry, it's like saying Voldemort) starter SNS is nice for this. It's cheaper and it can support a 60ml premix formula bottle. how long are they re-using the tubing for?>

[Guest guest]

with the force of the rinse, i don't know... but there could also be milk residue, formula residue, bacteria, and other things. someone should do a study! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Re: Re: nipple shields - AND MORE From Dana and JayeTo: Date: Tuesday, May 24, 2011, 9:29 AM

That's how we were taught to wash dishes, so while it makes sense to me, I wonder about soap residue left in the tube (whether we are talking the 5 Fr or the SNS).

Jan

it's not based on anything...I just made it up cause it made sense to me, like washing a bottle or pump parts

Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com

Breastfeeding Between the Lines: http://second9months.wordpress.com/

Subject: Re: Re: nipple shields - AND MORE From Dana and JayeTo: Date: Tuesday, May 24, 2011, 9:19 AM

If for long term I too will use the Them Who Will Not Be Named Starter SNS IF the baby is latching quickly and easily since mom has to latch the baby onto the breast and the tube at the same time. Short term I use the 5 Fr 36" feeding tube with a bottle or 30 ml syringe without the plunger.

I would love to know if there is any advantage to using soapy water in the tube vs just cold rinse and hot rinse.

Anyone know? Does the bit of antibacterial whatever in the soap actually do anything for the tubing?

Jan

The Medela (I know, sorry, it's like saying Voldemort) starter SNS is nice for this. It's cheaper and it can support a 60ml premix formula bottle. how long are they re-using the tubing for?>

[Guest guest]

Dana, you mentioned ordering 15f and 16f tubes, you mean 5f and 6f right? 15/16f would be rather huge J Cole

[Guest guest]

One of the parents I saw was a chemist. He said to rinse the tubes with cold

water first to get the protein out. If you rinse with hot water first, it will

denature the protein and make it stick. Then rinse with hot to get the fat out.

If you rinse with soap without diluting it, it may take up to 20 rinses to get

the soap out. Not an easy thing to do if you are a tired mom. I always tell

moms if they want to use soap that they should dilute it first, use just a tiny

drop and rinse really well.

Best regards,

E. Burger, MHS, PhD, IBCLC