every suck. Let baby self wean from the SNS by discontin-
uing use if baby takes less than 2-3 ounces from the SNS
every day. Weight checks with your healthcare provider
can be reassuring at this time.
Premature Infant
The SNS can greatly help with breastfeeding as your
baby is weaned from gavage f eeding in the NICU.
Premature babies generally do not have a lot of stamina.
If they suck at the breast, premature babies should get
some nutrition. The SNS will allow you to help your
infant learn to suck at the breast while receiving nutrition
that the hospital can monitor. This saves precious energy
over breastfeeding alone followed by bottle supplement.
It's best to supplement while nursing, rather than let
the infant nurse first and then bring in the SNS. The
baby's energy requirements must be taken into account.
Short frequent nursing is generally the rule, say at least
10 minutes on one breast, at 1-2 1/2 hour intervals
depending on the size of your baby and how well and how
long it takes to empty baby's stomach. Premature babies
rest and pause a lot during feeding and need a lot of care-
ful monitoring so they actually feed. Pausing is okay and
necessary but a gentle nudge may be needed if baby's
pausing lasts more than a minute.
Anytime that the infant can suck on a bottle, she can
also suck at the breast. With the SNS there is no reason
to first feed the infant by bottle and then later transfer
baby to the breast. Transferring the baby from bottle to
breast runs the risk of nipple confusion/preference.
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