Tube Position
When first using your SNS, you will want to know just
how the tubing should be placed. Make sure the baby
keeps the tube in the center of its upper lip and not in the
corner of its mouth.
Tubing Size
Babies using SNS may need different tubing sizes
depending on the exact nature of the problem. The larger
the diameter of the tubing, the faster the flow and the less
work that the baby has to do. Generally, you will want to
begin with the Middle size tubing (see flow regulation).
You can judge if you have the correct sized tubing by
observing the baby's sucking and swallowing pattern.
Some babies may not swallow with every suck or even
every other suck. You want to achieve swallowing with
every 1-3 suckles. If baby doesn't swallow consistently
make sure the tube is positioned properly or try a larger
tube. You may have to experiment in order to find the cor-
rect size tubing. Your health care professional will proba-
bly select the tube size based on the baby's and mother's
exact problem. Please read the flow regulation on specific
problems for more information. Some general recommen-
dations:
Small Size Suggestions (red valve):
1.
Baby gaining well but sucking needs to be improved.
2.
Thinner fluids such as water. (Water would be used
when the baby does not use supplement but needs a
better flow to improve sucking.)
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