FUN Feeding Facts and Fiction Question…#23

Infant eating skills transition from reflexive (automatic) to voluntary at around 2 months post-term, and so babies who are eating at the time they go home may still show feeding aversions or even stop eating after they are home.            TRUE This is true.  Unfortunately.  We know infants are at high risk of feeding problems after…

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FUN Feeding Facts and Fiction Question…#22

Babies can bottle-feed sooner than breastfeed and go home sooner.          FALSE This is not true.  In studies where moms are available all the time, we see breast feeding as early as a mean of 35 ½ weeks across several studies.  But many times, the mother is not available all of the time for a variety…

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FUN Feeding Facts and Fiction Question…#21

The majority of babies who have swallowing problems will cough/choke or drop their saturations when eating.                      FALSE This is not true.  The vast majority of babies who are aspirating do so without any signal.  We have lots of studies that show 80-95% of aspiration in babies is silent.  We need to be monitoring not…

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Let it go, let it go. Don’t hold on to hospital disposable nipples.

By Lauren Fuhrman – It is not infrequent to have bottles sent home with you from the hospital if supplementation was needed. It is important to remember that these nipples are most often disposable and not made to be reused. It is hard to try something new knowing the hospital supplied nipple is working. Why…

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FUN Feeding Facts and Fiction Question…#20

Low appetite, feeding refusals and increased parental stress are common feeding outcomes for preterm babies.                        TRUE This is true – for all preterm infants.  It is not just the ones who are in the NICU, or who are very immature.  All preterm infants have a higher risk of having long-term feeding problems.  My opinion –…

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FUN Feeding Facts and Fiction Question…#19

Unswaddling a baby in the NICU who is bottle feeding and sleepy helps them wake up and eat better.               FALSE There is no study that shows this.  And several published recommendations for swaddling babies to help them be more organized.  So where does this come from?  My opinion – it comes from thinking preterm babies…

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FUN Feeding Facts and Fiction Question…#18

Side-lying feeding helps a baby spit out fluid if it is coming too fast.        FALSE OK, I admit – this is a trick question.  Side-lying feeding can be very helpful in teaching a baby how to coordinate suck/swallow and breathe.  But they don’t actually spit fluid out.  If they are drooling (which is different than…

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Fast Flow, Newborn, Level 1… Is the labeling arbitrary? Pretty much.

By Lauren Fuhrman – As if the vast number of different bottle types on the market is not daunting enough, the nipples pairing with them have varying flow rates as well.  And bottle nipple flow rates are far from consistent across bottle brands, just as a size medium shirt can be snug or loose depending…

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FUN Feeding Facts and Fiction Question…#17

Risk of post-discharge hospitalizations, specialty doctor visits, and therapy visits in the first 2 years of life is lower for ELBW babies who receive more human milk in the first 2 weeks.    TRUE This is a fascinating thought!  And Johnson et al (2019) showed that, for every 10 mls more of human milk an ELBW…

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