Medela The SNS 00901S Instrucciones De Uso página 17

Slow Gaining Breastfed Baby
If you have been nursing frequently (every 2-3 hours
round the clock) and for long feedings (20-60 minutes)
and your baby has not gained well, your doctor may sus-
pect illness in the baby or perhaps a sucking problem.
The SNS will provide the nutrition needed to your baby so
that you can continue to breastfeed, while your healthcare
provider investigates the cause of the problem.
If your baby has a sucking in-coordination or sucking
problem, the baby will often suck better with the SNS in
place for every feeding. Your healthcare provider will
probably explain that most sucking problems are tempo-
rary and usually resolve when a baby's coordination has a
chance to mature. Your healthcare provider may not be
able to tell you exactly when your baby will outgrow this
in-coordination and when you can discontinue using your
SNS. This may take a few weeks to a few months.
Since you will be using your SNS until baby becomes
more coordinated, it is advisable to let baby wean herself
from the SNS as her suck improves. You should notice an
immediate and gratifying weight gain each week. Even
though baby is doing well, do not remove the SNS or cut
down on supplement at this time. Remember that baby
has a sucking problem and can't suck well. Removing the
SNS too soon might return the baby to a poor weight gain
situation. When baby gains better sucking coordination,
baby will, on his/her own, take less supplement. You
might try starting the baby at the breast without the SNS.
When the suck-swallow rhythm starts slowing down and
you no longer hear the swallows, you can then add the
SNS to finish the feeding. Remember, do not remove SNS
without consulting with your healthcare provider.
Babies with suckling problems may need different tub-
ing sizes depending on the exact nature of the problem
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