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Chapter 1 Index
A. General Information
about the well child examination B. Nutrition Issues
--Breastfeeding – Advantages and Disadvantages
--Breastfeeding: Resources and Frequently Asked Questions
--Formulas – Which
Gets Used When? |
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Nipples, Bottles, Feeding
Drs. Leggio, Pullin, Moore, Bartley, Lee
Introduction: There are many new and different methods of
feeding babies available to parents today; parents will expect the
pediatrician to know all about these.
Nipples: Nipples can be made from rubber (disposable after
one use), plastic and silicone. Silicone nipples can be used with
disposable and reusable bottles. The nipple holes are staged: stage 1, stage
2, stage 3: dependent on the size of the nipple hole (3=big). Nipple holes
can be pinpoint or have more than one hole per nipple. The shape of nipples
is quite variable; Nuk nipples “reduce swallowed air”.
Special nipples exist for certain circumstances: e.g. cleft palate:
nipples are softer on one side, harder on the other: allows easier
compression to get proper negative pressure. These nipples are wider than
the normal nipples. Caution: make sure that milk can flow from the nipple
before offering it to the baby.
Bottles: There are also many different types of bottles
available. Always need to sterilize bottle before the initial use but not
after that:
Standard bottles: Brands include Playtex, Healthtex, Evenflo,
Advent, Gerber J and J. Bottles can be firm or soft, angled or not, with or
without handles; inserts are popular because they require no clean-up and
air entering nipple is less.
Recent Examples of Other types of Bottles:
- Avent: has up to 4 holes, some say better for colic;
available with disposable bottle bags.(Stage 1: 2 holes; Stage 2: 3 holes;
Stage 3: 4 holes) Can also fit directly into the breast pump where bags
can be put in freezer.
- Dr. Brown’s “Natural flow feeding system”: a
“patented internal vent which reduces air bubbles and helps to prevent
fluid in your baby’s ears”
- Medibottle: “the pediatric medication delivery
system”
- Adiri: breastbottle nurser: breast like shape: “a
bottle like breastfeeding alternative for feeding breastmilk, formula or
juice.”
- The Pacifeeder: “feed while on the go: designed for
car seats, strollers, carriers”
- Waterford Crystal bottle: $95.00
Accessories to bottles:
- The Bottle Bundle: “a soft cuddly U shaped pillow with a fabric
covered elastic bottle holder: secures your baby’s bottle at the correct
angle”
- The Bottle Bunny: “feeding times are meant for bonding so hold your
baby, not the bottle: holds bottle in a number of positions.
Cleft palate: different varieties of bottles - most soft and can be
squeezed as child sucks
- Haberman feeder: adjustable slit valve in nipple to control flow; has a
reservoir
- Mead Johnson: soft squeezable bottle
- Pigeon nurser: nipple firm on one side to provide support; also flow
regulator
- Keys in feeding: burp often, feed upright, cheek support, may
need to spoon feed
Auctions of baby bottles:
http://auctions.shopping.yahoo.com/
Updated
8/2001
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