Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 melissa do you have the studies done by karen gromada on comparing different bottle nipples flow rates to breastfeeding – by hooking the bottle nipples up to an adapted pump, rather than just turning it upside down to see how it drips?? to my knowledge, there’s no data on bottle supplementing and breastfeeding outcome, but between gromada’s research and bottle feeding approach, and dee kassing’s bottle feeding approach, I think there are many of us who are seeing what you are hypothesizing. lyla From: Cole Sent: Friday, April 15, 2011 10:34 PM To: Subject: bottles Well I am not sure I want to open up this can of worms but it is on my mind so what the heck… I have been searching Pubmed, etc to see if I could scrounge up much info on a hypothesis I have but so far no luck. I had been hoping to find a decent study done on supplementing when medically necessary via bottle feeding (with appropriately selected bottles not the crappy Enfamil hospital nipples) and its impact on breastfeeding. I really have to say I found no useful study or lit review. Most everything I found lumped pacifiers and bottles together or compared them to cup feeding, etc. I couldn’t find much that discussed appropriately chosen bottles used in the context of needed supplementation causing a shortened duration of Bf. So please, if anyone has anything to this effect, that does not include pacifiers, let me know! Back to my hypothesis…this is really weird for me to share. Especially since those of you that personally know me, know I am pretty darn holistic LOL! Anyhow, what I am seeing in clinical practice is that when babies need supp EBM for more than just a few days and can’t use at at-breast supplementer, finger feeding and other alternative feeding methods don’t produce desired results (aka good breastfeeding skills). With extended finger feeding, etc we get these little “bird mouths†etc. I find much better results when an appropriately chosen bottle is alternated in for supp feeds. I am very picky and only use gadgets and tools judiciously…and I get results. But what I am having a tougher time with is enlightening others on my choice of feeding tools, particularly when the message that the bottle is evil and that the BFHI is the holy grail is in the mindset of some local providers. I am able to articulate my rationale but was curious if there was any research to back me up or contradict my clinical experience. What about other LCs here? Anyone want to point me to a study, share some insight or tell me what they say when a local midwife balks at the bottle on their clients (and tongue tied baby’s) night stand? Cole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 ,I am not aware of studies but I’ve been reading the very interesting book sold by Hale Publishing “Balancing Breast and Bottle” by Amy and Mindy Harmer. The WHO has a book of Evidence Base for each of the 10 steps but the knowledge base under Step 9 is quite old. http://www.who.int/child_adolescent_health/documents/9241591544/en/index.html I think our knowledge of mechanics of breastfeeding and the infant inborn reflex needed to breastfeed are better understood now ( see Dr. Suzanne Colson’s Biological Nurturing and also Dr. Smillie’s Baby Led Feeding). We now know that an infants’ reflex is to look for the breast when put on mother’s chest and that it remains intact for many weeks. We have to remember the first Golden rule is too feed the baby. I agree with you that extended alternate feeding (syringe, dropper, finger feeding with tube) often produce suboptimal breastfeeding. But that is only what I’ve observed clinically. Moreover, parents find it a lot of work. Ghislaine Reid, IBCLCMontreal, Quebec, Canada De : [mailto: ] De la part de mommacoleEnvoyé : 16 avril 2011 01:42À : Objet : Re: bottles Oh and I forgot to mention that it is not the parents that have a hard time with the bottle option. I explore a variety of tools with them and they usually " get " that a bottle can be an appropriately used short term tool when selected and used with care and guidance. I think more than anything I am just feeling a little unsettled about a recent case where the midwife was shocked to see I recommended a bottle in a particular situation, although she did understand my rationale, I could tell that she didn't really " get " my choice...but then again she didn't get the tongue tie so maybe she was feeling weird about that...ugh, thanks for letting me process and share in this group of LCs I love! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Lyla,Where can you find Gromada’s paper on bottle nipples flow rates ? Ghislaine Reid, BA (Translation 1981), LLL (1990), IBCLC(2002)Montreal, Quebec, Canada De : [mailto: ] De la part de lylawEnvoyé : 16 avril 2011 01:49À : Objet : Re: bottles melissa do you have the studies done by karen gromada on comparing different bottle nipples flow rates to breastfeeding – by hooking the bottle nipples up to an adapted pump, rather than just turning it upside down to see how it drips?? to my knowledge, there’s no data on bottle supplementing and breastfeeding outcome, but between gromada’s research and bottle feeding approach, and dee kassing’s bottle feeding approach, I think there are many of us who are seeing what you are hypothesizing. lyla From: Cole Sent: Friday, April 15, 2011 10:34 PMTo: Subject: bottles Well I am not sure I want to open up this can of worms but it is on my mind so what the heck…I have been searching Pubmed, etc to see if I could scrounge up much info on a hypothesis I have but so far no luck. I had been hoping to find a decent study done on supplementing when medically necessary via bottle feeding (with appropriately selected bottles not the crappy Enfamil hospital nipples) and its impact on breastfeeding. I really have to say I found no useful study or lit review. Most everything I found lumped pacifiers and bottles together or compared them to cup feeding, etc. I couldn’t find much that discussed appropriately chosen bottles used in the context of needed supplementation causing a shortened duration of Bf. So please, if anyone has anything to this effect, that does not include pacifiers, let me know!Back to my hypothesis…this is really weird for me to share. Especially since those of you that personally know me, know I am pretty darn holistic LOL!Anyhow, what I am seeing in clinical practice is that when babies need supp EBM for more than just a few days and can’t use at at-breast supplementer, finger feeding and other alternative feeding methods don’t produce desired results (aka good breastfeeding skills). With extended finger feeding, etc we get these little “bird mouths†etc. I find much better results when an appropriately chosen bottle is alternated in for supp feeds. I am very picky and only use gadgets and tools judiciously…and I get results. But what I am having a tougher time with is enlightening others on my choice of feeding tools, particularly when the message that the bottle is evil and that the BFHI is the holy grail is in the mindset of some local providers. I am able to articulate my rationale but was curious if there was any research to back me up or contradict my clinical experience. What about other LCs here? Anyone want to point me to a study, share some insight or tell me what they say when a local midwife balks at the bottle on their clients (and tongue tied baby’s) night stand? Cole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Hi Lyla,Thanks for your reply! Yes I am familiar with the flow rate research (cool work!) but in this case, it was not what I was looking for. I think the message that bottles are harmful to breastfeeding is stemming out of research saying “artificial nipples are a pitfall to breastfeeding” which lumps all shapes, sizes, types and situations of artificial nipple use together which is just ridiculous. The funny thing is that I totally am for the only “intervention” being ample skin to skin snuggle time for mom and baby, yet the reality is those aren’t the dyads calling needing my help! So other HCPs may just see my report and think, “oh she’s one of those LCs…with her nipple shields and bottles”. LOL! But the truth is the majority of cases I work with need some sort of intervention (over 60% of my cases are tongue tie cases). So I guess what I’ll do from now on is just make a footnote on my report as to why I choose a bottle when that is a needed intervention and hope that sheds some light on it. Cole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Ghislaine, Thanks for the message. My problem with the WHO research is that all artificial nipples are lumped together (all bottle teats and pacifiers aren't the same!) so I am not finding the supporting evidence to be that great. However I do really like the book you mentioned and had a chance to discuss a few things with Amy sen via email after a presentation she gave. I admire her work and think all LCs should have better familiarity with appropriate bottle selection. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 > > Back to my hypothesis…this is really weird for me to share. Especially since those of you that personally know me, know I am pretty darn holistic LOL! > > Anyhow, what I am seeing in clinical practice is that when babies need supp EBM for more than just a few days and can’t use at at-breast supplementer, finger feeding and other alternative feeding methods don’t produce desired results (aka good breastfeeding skills). With extended finger feeding, etc we get these little “bird mouths†etc. I find much better results when an appropriately chosen bottle is alternated in for supp feeds. I am very picky and only use gadgets and tools judiciously…and I get results. But what I am having a tougher time with is enlightening others on my choice of feeding tools, particularly when the message that the bottle is evil and that the BFHI is the holy grail is in the mindset of some local providers. I am able to articulate my rationale but was curious if there was any research to back me up or contradict my clinical experience. What about other LCs here? Anyone want to point me to a study, share some insight or tell me what they say when a local midwife balks at the bottle on their clients (and tongue tied baby’s) night stand? > Perhaps you've already looked into this, but perhaps Genna 's book " Supporting Sucking Skills " has the info you seek. I have not been able to procure a copy quite yet as my PP is very very new and I am having to slowly build my library, but my understanding is that the book discusses different tools at length, including bottles. If that book isn't quite it, perhaps you could contact Genna directly and ask if she has any ideas where to find that info. Good luck! Cassidy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Indeed we need more knowledge about nipple bottle selection with regards to breastfeeding. And I do agree with you that the evidence-based quoted in the WHO document is insufficient, inadequate for our state of knowledge as of 2011. In my opinion, I think that we worked so hard to stop the systematic bottles given to breastfed infants during their hospital stay and early breastfeeding initiation that now we are stuck with this doctrine of “never any bottle” for breastfed infants. And never any nipple shields as they are enemies to breastfeeding. I do think that we need to keep up to date with the new knowledge and that the HCP who discredit our interventions need to update their own evidence-based knowledge. This morning, I browsed through the References in the Balancing Breast and Bottle book and found the following studies that may be of interest even if they are not exactly what you are looking for :1. Pediatr Res. 2006 May;59(5):728-31. Changes in sucking performance from nonnutritive sucking to nutritive sucking during breast- and bottle-feeding. http://www.ncbi.nlm.nih.gov/pubmed/166278902. J Pediatr. 1995 Jun;126(6):S130-4. Imaging evaluation of breast-feeding and bottle-feeding systems. Nowak AJ, WL, Erenberg A. http://www.ncbi.nlm.nih.gov/pubmed/7776073 You may have already come across these references, but, just in case you did not, I decided to post them. Ghislaine Reid, BA (Translation 1981), LLL (1990), IBCLC(2002)Montreal, Quebec, Canada De : [mailto: ] De la part de mommacoleEnvoyé : 16 avril 2011 11:00À : Objet : Re: bottles Ghislaine,Thanks for the message. My problem with the WHO research is that all artificial nipples are lumped together (all bottle teats and pacifiers aren't the same!) so I am not finding the supporting evidence to be that great. However I do really like the book you mentioned and had a chance to discuss a few things with Amy sen via email after a presentation she gave. I admire her work and think all LCs should have better familiarity with appropriate bottle selection. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 no studies but lots of evidence-based decision making here. I always recommend supp. with bottles. (if moms don't supp at breast) my experience shows me that finger feeding is slow, cumbersome, likely to result in baby underfeeding, tires the baby, is nothing at all like breastfeeding and produces abnormal sucking behaviors. I've been saying this for years. It probably makes a lot of people mad, but that's what I've seen. the only time I haven't been able to help a baby back to the breast is one little guy who had been finger-fed for 3 MONTHS! He had learned to suck like a straw. thanks for speaking up! I'm with ya! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- Subject: bottlesTo: Date: Friday, April 15, 2011, 10:34 PM Well I am not sure I want to open up this can of worms but it is on my mind so what the heck…I have been searching Pubmed, etc to see if I could scrounge up much info on a hypothesis I have but so far no luck. I had been hoping to find a decent study done on supplementing when medically necessary via bottle feeding (with appropriately selected bottles not the crappy Enfamil hospital nipples) and its impact on breastfeeding. I really have to say I found no useful study or lit review. Most everything I found lumped pacifiers and bottles together or compared them to cup feeding, etc. I couldn’t find much that discussed appropriately chosen bottles used in the context of needed supplementation causing a shortened duration of Bf. So please, if anyone has anything to this effect, that does not include pacifiers, let me know! Back to my hypothesis…this is really weird for me to share. Especially since those of you that personally know me, know I am pretty darn holistic LOL!Anyhow, what I am seeing in clinical practice is that when babies need supp EBM for more than just a few days and can’t use at at-breast supplementer, finger feeding and other alternative feeding methods don’t produce desired results (aka good breastfeeding skills). With extended finger feeding, etc we get these little “bird mouths†etc. I find much better results when an appropriately chosen bottle is alternated in for supp feeds. I am very picky and only use gadgets and tools judiciously…and I get results. But what I am having a tougher time with is enlightening others on my choice of feeding tools, particularly when the message that the bottle is evil and that the BFHI is the holy grail is in the mindset of some local providers. I am able to articulate my rationale but was curious if there was any research to back me up or contradict my clinical experience. What about other LCs here? Anyone want to point me to a study, share some insight or tell me what they say when a local midwife balks at the bottle on their clients (and tongue tied baby’s) night stand? Cole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Yes, I think it's a reaction to over-doing bottles! But in any case, my reasoning is that baby's are born to be able to nurse from any kind of breast/nipple they come across. they need to be versatile--they don't know what their mom's breasts are like, right? it just makes sense that they can figure it out. and they do! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- Subject: RE: Re: bottlesTo: Date: Saturday, April 16, 2011, 9:11 AM Indeed we need more knowledge about nipple bottle selection with regards to breastfeeding. And I do agree with you that the evidence-based quoted in the WHO document is insufficient, inadequate for our state of knowledge as of 2011. In my opinion, I think that we worked so hard to stop the systematic bottles given to breastfed infants during their hospital stay and early breastfeeding initiation that now we are stuck with this doctrine of “never any bottle†for breastfed infants. And never any nipple shields as they are enemies to breastfeeding. I do think that we need to keep up to date with the new knowledge and that the HCP who discredit our interventions need to update their own evidence-based knowledge. This morning, I browsed through the References in the Balancing Breast and Bottle book and found the following studies that may be of interest even if they are not exactly what you are looking for :1. Pediatr Res. 2006 May;59(5):728-31. Changes in sucking performance from nonnutritive sucking to nutritive sucking during breast- and bottle-feeding. http://www.ncbi.nlm.nih.gov/pubmed/166278902. J Pediatr. 1995 Jun;126(6):S130-4. Imaging evaluation of breast-feeding and bottle-feeding systems. Nowak AJ, WL, Erenberg A. http://www.ncbi.nlm.nih.gov/pubmed/7776073 You may have already come across these references, but, just in case you did not, I decided to post them. Ghislaine Reid, BA (Translation 1981), LLL (1990), IBCLC(2002)Montreal, Quebec, Canada De : [mailto: ] De la part de mommacoleEnvoyé : 16 avril 2011 11:00À : Objet : Re: bottles Ghislaine,Thanks for the message. My problem with the WHO research is that all artificial nipples are lumped together (all bottle teats and pacifiers aren't the same!) so I am not finding the supporting evidence to be that great. However I do really like the book you mentioned and had a chance to discuss a few things with Amy sen via email after a presentation she gave. I admire her work and think all LCs should have better familiarity with appropriate bottle selection. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 From: Cole Sent: Saturday, April 16, 2011 7:55 AM To: Subject: Re: bottles Hi Lyla, >>>Thanks for your reply! Yes I am familiar with the flow rate research (cool work!) but in this case, it was not what I was looking for. I think the message that bottles are harmful to breastfeeding is stemming out of research saying “artificial nipples are a pitfall to breastfeeding†which lumps all shapes, sizes, types and situations of artificial nipple use together which is just ridiculous.>>> I completely agree with you, and I think it also stems from the seemingly random and ubiquitous practice of handing out nipple shields (and supplementing with bottles) in the first 24 hours or so, in the hospital, for no apparent reason at all. I also think midwives (that’s who objected to your rec, you said) around here (the home birth midwives) tend to be anti-intervention (understandably) when it comes to birth, and sometiems mistakenly extend that to lactation, in a reactive way (reacting to the hospital birth response to lactation “issues†mentioned above), rather than separating out the work we as private practice LCs do, with mothers, at day 3, 7, 14, etc. from what is done at hour 3 or 7 or 14, that can seriously derail breastfeeding for a while. not all midwives, not all the time, but there is a tendency. >>>>>>The funny thing is that I totally am for the only “intervention†being ample skin to skin snuggle time for mom and baby, yet the reality is those aren’t the dyads calling needing my help! So other HCPs may just see my report and think, “oh she’s one of those LCs…with her nipple shields and bottlesâ€. LOL! But the truth is the majority of cases I work with need some sort of intervention (over 60% of my cases are tongue tie cases). So I guess what I’ll do from now on is just make a footnote on my report as to why I choose a bottle when that is a needed intervention and hope that sheds some light on it.>>> I wonder if you could write up a short overview of when a bottle/nipple shield is helpful, and why, and when they are not helpful/cause problems, with hcps (and parents) in mind, and attach that to your report? that’d be a really valuable little handout, I’d think, and might affect how some hcps handle their patients’ breastfeeding issues in the future too...planting a seed... lyla Cole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 aahhh there is always something to write or do.... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- Subject: Re: Re: bottlesTo: Date: Saturday, April 16, 2011, 10:33 AM From: Cole Sent: Saturday, April 16, 2011 7:55 AM To: Subject: Re: bottles Hi Lyla, >>>Thanks for your reply! Yes I am familiar with the flow rate research (cool work!) but in this case, it was not what I was looking for. I think the message that bottles are harmful to breastfeeding is stemming out of research saying “artificial nipples are a pitfall to breastfeeding†which lumps all shapes, sizes, types and situations of artificial nipple use together which is just ridiculous.>>> I completely agree with you, and I think it also stems from the seemingly random and ubiquitous practice of handing out nipple shields (and supplementing with bottles) in the first 24 hours or so, in the hospital, for no apparent reason at all. I also think midwives (that’s who objected to your rec, you said) around here (the home birth midwives) tend to be anti-intervention (understandably) when it comes to birth, and sometiems mistakenly extend that to lactation, in a reactive way (reacting to the hospital birth response to lactation “issues†mentioned above), rather than separating out the work we as private practice LCs do, with mothers, at day 3, 7, 14, etc. from what is done at hour 3 or 7 or 14, that can seriously derail breastfeeding for a while. not all midwives, not all the time, but there is a tendency. >>>>>>The funny thing is that I totally am for the only “intervention†being ample skin to skin snuggle time for mom and baby, yet the reality is those aren’t the dyads calling needing my help! So other HCPs may just see my report and think, “oh she’s one of those LCs…with her nipple shields and bottlesâ€. LOL! But the truth is the majority of cases I work with need some sort of intervention (over 60% of my cases are tongue tie cases). So I guess what I’ll do from now on is just make a footnote on my report as to why I choose a bottle when that is a needed intervention and hope that sheds some light on it.>>> I wonder if you could write up a short overview of when a bottle/nipple shield is helpful, and why, and when they are not helpful/cause problems, with hcps (and parents) in mind, and attach that to your report? that’d be a really valuable little handout, I’d think, and might affect how some hcps handle their patients’ breastfeeding issues in the future too...planting a seed... lyla Cole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 shoot - i could have sworn i uploaded it to this group's files section when it was discussed - still looking - but for now, here's the correspondence with karen (in the form of a previous thread here, from 2009): http://health.groups.yahoo.com/group//message/5282 Lyla,Where can you find Gromada’s paper on bottle nipples flow rates ? Ghislaine Reid, BA (Translation 1981), LLL (1990), IBCLC(2002) Montreal, Quebec, Canada De : [mailto: ] De la part de lylaw Envoyé : 16 avril 2011 01:49À : Objet : Re: bottles melissa do you have the studies done by karen gromada on comparing different bottle nipples flow rates to breastfeeding – by hooking the bottle nipples up to an adapted pump, rather than just turning it upside down to see how it drips?? to my knowledge, there’s no data on bottle supplementing and breastfeeding outcome, but between gromada’s research and bottle feeding approach, and dee kassing’s bottle feeding approach, I think there are many of us who are seeing what you are hypothesizing. lyla From: Cole Sent: Friday, April 15, 2011 10:34 PM To: Subject: bottles Well I am not sure I want to open up this can of worms but it is on my mind so what the heck… I have been searching Pubmed, etc to see if I could scrounge up much info on a hypothesis I have but so far no luck. I had been hoping to find a decent study done on supplementing when medically necessary via bottle feeding (with appropriately selected bottles not the crappy Enfamil hospital nipples) and its impact on breastfeeding. I really have to say I found no useful study or lit review. Most everything I found lumped pacifiers and bottles together or compared them to cup feeding, etc. I couldn’t find much that discussed appropriately chosen bottles used in the context of needed supplementation causing a shortened duration of Bf. So please, if anyone has anything to this effect, that does not include pacifiers, let me know! Back to my hypothesis…this is really weird for me to share. Especially since those of you that personally know me, know I am pretty darn holistic LOL! Anyhow, what I am seeing in clinical practice is that when babies need supp EBM for more than just a few days and can’t use at at-breast supplementer, finger feeding and other alternative feeding methods don’t produce desired results (aka good breastfeeding skills). With extended finger feeding, etc we get these little “bird mouths” etc. I find much better results when an appropriately chosen bottle is alternated in for supp feeds. I am very picky and only use gadgets and tools judiciously…and I get results. But what I am having a tougher time with is enlightening others on my choice of feeding tools, particularly when the message that the bottle is evil and that the BFHI is the holy grail is in the mindset of some local providers. I am able to articulate my rationale but was curious if there was any research to back me up or contradict my clinical experience. What about other LCs here? Anyone want to point me to a study, share some insight or tell me what they say when a local midwife balks at the bottle on their clients (and tongue tied baby’s) night stand? Cole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 ok i found the abstract - not sure if i can upload a pdf here - will try! lyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Thank you Lyla, and thank you Wise ones, great discussion! ok i found the abstract - not sure if i can upload a pdf here - will try! lyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Checking in to see if you have any more info. on the Swallowing conf. May 21 and 22? Thanks for posting the info you did! Ghislaine, Thanks for the message. My problem with the WHO research is that all artificial nipples are lumped together (all bottle teats and pacifiers aren't the same!) so I am not finding the supporting evidence to be that great. However I do really like the book you mentioned and had a chance to discuss a few things with Amy sen via email after a presentation she gave. I admire her work and think all LCs should have better familiarity with appropriate bottle selection. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 I had the great pleasure of meeting Genna and hearing her speak just last Friday at a conference in London Ontario. Her other great book " Selecting and Using Breastfeeding Tools: Improving Care and Outcomes " (Hale 2009) is a fabulous resource along with " Supporting Sucking Skills in Breastfeeding Infants " ( and Bartlett Publishers 2008). Anne Weeks, MClSc, IBCLC Best Beginning Lactation Services > all LCs should have better familiarity with appropriate bottle selection. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 Does anyone else on this list help convince older babies to take bottles? Yes, a bottle-feeding consultation (sometimes it ends up being a cup-feeding consult) As in, "I'm going back to work in 2 weeks and my baby won't take a bottle!" I seem to be doing it more and more and I'm wondering if I'm the only one. And if others are doing it, maybe it's something I should be talking about with my intern. even though it's not something that's on the exam... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 well, my name has definitely been passes around among mothers looking for help with that issue.... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- From: and June Subject: RE: bottlesTo: Date: Thursday, June 23, 2011, 5:43 PM I usually dismiss bottle consults, but I have tried to help a few. Has anyone read “Balancing Breast & Bottle†by Amy ? WOW! What an eye opener for me!! I’ve been asked a few times if there was a bottle consultant much like a Lactation Consultant. Can you imagine? I didn’t think it was too difficult, but can see how it can really be managed more appropriately to compliment bf. Even beyond the typical slow flow advice or “breast for dessertâ€. It’s amazing how many things you can learn about feeding babies!June , RN, IBCLCwww.cherishthebaby.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 Hi Get this quite frequently - always chat on the phone with them and things generally sort out but sometimes do a consult. Bottle feeding is a real big deal......my friend Fleur always says 'had to become a lactation consultant to learn how to bottle feed properly!" I agree that the book Combining Breast and Bottle is helpful as is anything by GW. If the baby is older we do a lot of talking about appropriate complimentary foods and cups. These moms also want to talking about pumping (or not) what to do about that and so a full back to work consult is definitely worth it. Even with our 'one year' mat leave lots of moms go back to work or school way before that. beth IBCLC and LLLC leader in Ottawa To: ibclc-pp From: second9months@...Date: Thu, 23 Jun 2011 15:45:54 -0700Subject: bottles Does anyone else on this list help convince older babies to take bottles? Yes, a bottle-feeding consultation (sometimes it ends up being a cup-feeding consult) As in, "I'm going back to work in 2 weeks and my baby won't take a bottle!" I seem to be doing it more and more and I'm wondering if I'm the only one. And if others are doing it, maybe it's something I should be talking about with my intern. even though it's not something that's on the exam... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com Breastfeeding Between the Lines: http://second9months.wordpress.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 Hi , I frequently have to help my WIC moms with this issue, so it may well be something good to share with your intern. Fay Bosman, IBCLC www.nwmothernurture.com > > Does anyone else on this list help convince older babies to take bottles? Yes, a bottle-feeding consultation (sometimes it ends up being a cup-feeding consult) As in, " I'm going back to work in 2 weeks and my baby won't take a bottle! " I seem to be doing it more and more and I'm wondering if I'm the only one. And if others are doing it, maybe it's something I should be talking about with my intern. even though it's not something that's on the exam... > Quote Link to comment Share on other sites More sharing options...
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