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Thread: A few questions..

  1. #1
    Join Date
    Jul 2011
    Location
    Lehigh Acres, Florida
    Posts
    151

    Default A few questions..

    I have a friend who had twin girls at 32weeks and are now home after 5 weeks in the hospital. I am trying to help her with a few things and before I open my mouth with advice I would like to get everyone's take on a few things.

    1. Nipple Shields. I have heard that unless you have a nipple problem like inverted or whatever, you should try not to use these. Less milk transfer and what not. Any info on this would be wonderful.

    2. Supplementing with formula. I understand that many moms have to do this and thats fine I just want to know the pros and cons of it when looking towards the future.

    3. Is it important for premature babies to be supplemented with formula for weight gain?


    Any information on anything in this post would be wonderful
    TIA

    Married to Josh 05/07/2005
    Grace 12/17/2006 FF
    Emma 01/22/2008 EP
    Frank 06/26/2011 EBF

    "While breastfeeding may not seem like the right choice for every parent, it is the best choice for every baby" Amy Spangler

    **** 8 beautiful months and going strong ****

  2. #2
    Join Date
    Jul 2011
    Posts
    15

    Default Re: A few questions..

    1. Nipple shields can lower supply. It happened to me...very gradually. Luckily I saw an awesome LC and now we nurse shield free, supply back to normal.

    2. If supplementation is needed, do it at the breast with a little tube. SNS is what it is called, I think. If for some reason that can't work, pump after nursing. in fact pumping after nursing might be the way to go regardless. More stimulation = more mama's milk = less supplement. That way one could also use the pumped milk as supplement.

    3. Not sure why formula would be better than breast milk in this case...seems to me if breast is best for term babies it would also be best for premies.
    Just my opinion.

    Congratulations to your friend. Hope everything works out for her and that her babies stay healthy and grow strong!

  3. #3
    Join Date
    May 2006
    Posts
    21,239

    Default Re: A few questions..

    1. Link on shields: http://www.kellymom.com/bf/concerns/...an-shield.html
    2. Supplementation pros:
    - when necessary, can be life-saving
    Supplementation cons:
    - can lead to reduced milk supply, since supply = demand, and anything that keeps baby from demanding milk from the breast will lead to reduced supply
    - early introduction of artificial nipples (bottles, pacis) can interfere with a baby's latch and desire to nurse
    - formula is not as healthy for a baby as breastmilk- it does not contain the ideal nutritional balance for growth and development, does not provide any immunological benefits, and is sometimes (rarely) contaminated with dangerous microorganisms
    3. No. Premature babies who are not nursing well may require supplementation, but they can be supplemented with expressed milk or expressed milk which has had milk fortifier added to it. Formula does not make premature babies grow faster than breastmilk.
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
    Coolest thing my little girl sang recently: "I love dat one-two pupples!"

  4. #4
    Join Date
    Apr 2011
    Posts
    151

    Default Re: A few questions..

    Hi: just a word on your last question. My LO was 6 weeks premature, & the awesome docs at my hospital were anxious that he be exclusively breastmilk fed, at least until his due date. Unfortunately they relied on bottles, but that's another story. Anyhow, these Stanford Neonatologists said that formula can be hard for preemies to digest and thus lead to other, secondary issues. So, in short, NO, no preemie "needs" formula. Unless, of course, theres nothing else to eat.
    Kate

    Mother to a sweet boy, born at 34 weeks on 2/11/11.
    Proud that I grew 26 lbs of baby before solids, and still counting...

    We received banked milk in the NICU. Thank you, donors!!!

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