This baby needs to receive supplementation. It is best that the baby receive this via lactation aid because:
baby is still on the breast and breastfeeding.
learn to breastfeed by breastfeeding.
Mothers learn to breastfeed by breastfeeding.
baby is still getting milk from the breast thus helping increase the
mother’s milk production.
baby is not likely to reject the breast as he would if he were
supplemented by bottle or by any method not on the breast.
is more to breastfeeding than breastmilk; the baby and mother are in
close physical contact.
One way to
introduce the tube is to insert it while the baby is at the breast as in
this video clip. The other is to line up the tube with the nipple and latch
the baby on the breast and lactation aid tube at the same time.
position of the baby:
baby’s chin touches the breast but nose does
baby covers more of the areola with his lower lip than his upper lip.
baby is slightly tilted up towards the mother.
has now fed from both breasts and is not getting much milk flow (mostly
nibbling at the breast—see video clips of babies drinking or not drinking).
It is time to supplement.
breast tissue is eased out of the way so that the corner of the baby’s
mouth is visible.
fact that the baby is tilted slightly upwards makes it easier to find
the corner of the baby’s mouth and insert the tube.
tube is inserted in the corner
of the baby’s mouth.
tube is pushed almost straight back towards the back of the baby’s
throat but also slightly upward toward the roof of the baby’s mouth.
milk moves down the tube to the baby’s mouth, but the baby does not
drink (see video clips of babies drinking or not drinking). Something
is not working.
mother is attempting compression, but compression should be done when
the baby is sucking and not drinking, not when the baby is not sucking
at all. Moreover, compression while the baby is being supplemented at
the breast with a lactation aid is not necessary.
seconds into the video, I fiddle with the tube placement, and now it
starts working. The baby is drinking.
the baby pops his eyes open when he starts getting milk again. Babies
are not “lazy”; they respond to milk flow. Young babies such as this
one tend to fall asleep when the flow of milk is slow, not necessarily
if they have had enough.
fiddling with the tube at about 35 seconds. If the baby is well latched
on and tube is well placed, supplementing using the lactation aid takes
no more time than giving the baby the bottle or finger feeding. Using
finger feeding to supplement when the baby takes the breast is not the
best approach either.
about 1 minute into the video, I pull the baby’s chin down a bit.
Remember, good latch and good placement of the tube make this system
work best. Pulling down the chin gets more of the breast into the
about 1 minute and 18 seconds, we bring the baby around even more
asymmetrically by having the mother push the baby’s bottom in with her
about 1 minute and 55 seconds, milk comes out of the baby’s mouth means
something is not right. Baby has slipped off the breast or the tube has
moved. Fiddling with the tube again makes it work properly again.