Re: Need some insights.
When you have a sleepy baby, and small and premature babies are often sleepier than average, you need to wake the baby to feed. I would attempt to wake him to nurse every 2-3 hours during the day and every 3 at night.
You are absolutely right to be concerned about nipple confusion. These links may be helpful:
http://kellymom.com/bf/pumping/alternative-feeding.html - I especially suggest you look over the methods of supplementing a baby at the breast using a supplemental nursing system
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