Preemies

best slow flow bottle that is similar to breast??

My daughter is not a preemie, actually she was 40w4d and 6lbs 11oz at birth.  However she does have feeding issues.  She takes 45-60min to feed at the breast despite adequate supply and does a lot more non-nutritive sucking than nutritive.  When she takes a bottle she takes it quickly like any other baby but aspirates once during the feed with about 70% of her bottles...and I mean aspirates, coughs, and starts turning blue until i can get her to breathe again.  Any advice on the slowest flow of a bottle I can get so that she is less likely to aspirate and less likely to give up on on her effort with breastfeeding?
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Re: best slow flow bottle that is similar to breast??

  • Once DD came home, we started using Dr. Brown's bottles with the preemie nipple. DD did much better with those than with the bottles they used in the NICU.
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  • CHOP sent us home using Dr Brown's w/ prem nipple to try and I had Tom Tip's on hand - just wound up using the NICU bottles until he was done.
  • Wait, I didn't fully read this because I was chasing DS and we get a lot of this - but not your situation. If your child is turning colors go straight to the ER. None of this is all right and it could be something they need to take a closer look at - ask about silent reflux and a ph probe test! GL! I'm so sorry I didn't read it all the way before!
  • Go back to the hospital.  Turning blue is not okay.  She may need thickened feeds or have another issue going on.  If she is aspirating milk it puts her a much higher risk for pneumonia.  Please get back there asap. 
    Born at 31w3d due to severe IUGR & Placental Insufficiency--2lbs 3ounces
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