Cup feeding for feistynurse and others

  1. I was feeling out of place on the what irritates you posting. We do cup feeding as a last resort because it gets the kid food, it is non-invasive, it's easy to learn for parents going home, you don't have to waste a lot of supplies and there is no chance of a child developping nipple confusion. Our LCs like it for those reasons.

    I just don't understand the resistance to trying it or what harm there is in trying it. I have found it to be just as effective as S&S feeding. If we are completely backwards at our hospital let me know why please (we're actually considered behind the times because of our reluctance to cup feed!). Does anyone know of any studies on it?
  2. 20 Comments

  3. by   fergus51
    Oh, and feisty, our breastfeeding program is very similar to yours. The difference here is that the nursery nurses are free to give babies soothers unless the mother expressly forbids it. Most new moms don't even think about this so babies are often given soothers. It's my biggest pet peeve.
  4. by   fergus51
  5. by   fiestynurse
    Thanks for getting this out of the "What irritates you" post. I didn't feel right changing the topic in there.
    I would like to get some input from other Mother/Baby Nurses or Lactation Consultants.
    There always seems to be so many different viewpoints regarding breast feeding and what works and what doesn't work. No wonder the mothers get confused at times, so many people telling them different things.
    The problem that I have with the cup feeding or dropper feeding or spoon feeding (I've seen it all) is that you can't really determine how much the baby is really getting. This becomes important when you have a baby with a low blood sugar.
    I can also see how impractical this is from a newborn nursery nurse's point of view. They just don't have the time!! In order to make our breast feeding program a success, we had to all be on the same page, doing the same thing. If you really want to encourage the cup feeding you have to get the newborn nursery nurses and the Pediatricians to buy into it. They usually don't!!
    I do totally agree with you that newborn babies should not be routinely given supplemental bottles or pacifiers. It really can sabotage the breast feeding!
    And the s--t really hits the fan if any breast fed baby is given formula!!
    As a side note, I breast my own two children without any problems and both of them recieved sugar water via a bottle the first few days of life. And my first child loved her pacifier! Maybe, my own personal experiences taints my feelings on this.
    Anyway, thanks for stimulating my brain!!
  6. by   fergus51
    Thanks for replying. Our nursery nurses are lucky in that they rarely have more than one sick baby. They will have one sick one and one healthy babe from a c-section (they routinely spend a night in the NICU) but we don't have a lot of preemies or anything (they are flown to a bigger center if anything is seriously wrong). We measure cup feeds by drawing the milk into a syringe first, or by using a cup with measurements on it. I totally agree, things can't work unless everyone is on the same page!!!
  7. by   nurs4kids
    Well, I really don't qualify as a Mother/Baby Nurse per se, but I have an opinion . First of all, I breast fed both of mine and supplemented with bottle when working. One took pacifier (although I HATE pacifiers) and the other didn't. Neither ever got "nipple confusion". Secondly, in the hospital, we always have babies who have to be tube fed because of FTT or sucking problems. I have never seen one of these babies refuse to breast or bottle feed when allowed to resume regular feeds. We also routinely supplement breast fed babies with formula when mom isn't producing enough. I did this with one of my own kids, also. Never have seen a problem with that either. Like ya'll said, I've heard and read all the things published by the "experts", but you've got to wonder where there database was from. It is very frustrating for a new mother to get so many opposing views. My pediatrician chewed me out for supplementing. I felt like a failure and "trapped". I so bad wanted to breast feed, but KNEW my baby wasn't satisfied with breast milk alone. Thank God I went with my gut instinct rather than allowing my pediatrician to influence me. As soon as I was producing enough, I quit supplementing and my baby was fine. The other alternative would have been a very irritible baby or just go strictly formula.
  8. by   fergus51
    The breastfeeding issue is so difficult anyways because of the pressure put on mothers. I think we have the same pediatrician here . I have never had problems with tube fed babes, it's the pacifiers that kill me. They are completely unecessary anyways. And then the moms having trouble hear from their friends "my baby had pacifiers and breastfed fine" so they feel like even bigger failures. It's terrible the pressure they are put under. I don't know why people think that because breastfeeing is natural it should always be easy.

    Supps are a touchy issue here too. Some nurses supp at the first sign of weight loss (even normal weight loss!), others wait a lot longer. It's hard to decide sometimes because we don't want the babies to be too well fed with formula because then they sleep so long the breast isn't getting stimulated enough and the milk production can decrease. I miss the days when every problem had a definite answer...sigh...
  9. by   nurs4kids
    It's a whole new issue, but you mentioned it...I HATE PACIFIERS!!! There is nothing more irritating to me than a kid walking and TRYING to talk through a pacifier. Another irritating thing...Bottles after a year. Both of these are for the parents, not the child!!! My mom thinks pacifiers are "cute" when they're infants. She kept my first while I worked. She tried and tried..after about four months, my baby absolutely refused it..I was so happy
  10. by   rn500
    I have not had too much experience with cup feeding, BUT I will say anyway that I think feeding with a syringe is a lot easier.
  11. by   JennieBSN
    AAAAARRRGGGHHH!! Our nursery nurses SUCK!! They HATE breastfeeding (many have openly stated quote), and will slip a bottle in a breastfed baby's mouth faster than you can say enfamil. They ROUTINELY try to sabotage breastfeeding, and b**** about having to help moms breastfeed. And cup feeding?? Puleeze...those lazy cows absolutely REFUSE to do it. At my old hosptial, we had a GREAT LC and a STRICT breastfeeding protocol, and cupfeeding was a normal, routine occurance. We would NEVER give a bf baby a BOTTLE.

    The other night, I went to the nsy to get the baby for my pp mag patient, and the lazy nsy nurse was giving her a bottle!! I said, 'that's a breast baby.' The nurse said, 'I know. I tried <to call> the mom, but she didn't answer.' I said, 'Her room is right around the corner, you could have just brought her the baby. And I'm right in L& could have called ME (L&D and the pt's room are literally 25 FEET from the nsy).' I grabbed the baby, took her to her parents, and surprise surprise, SHE WOULDN'T NURSE. I told the parents that the nsy had given her a bottle without their consent, and suggested they keep the baby with them from now on. The nursery was p.o.'d, but WHO CARES!! Lazy, good for nothing B****ES!!! Aaaaaaaaaacccccccckkkkkkk!!
    My personal opinion regarding feeding babies is that I really don't care what you do. My job is to support the patients decision and not allow them to be made to feel guilty by others. As often as I've run into a lazy nursery nurse, I've had a lactation consultant make a new mom feel like s**t for deciding to bottle feed. There's no reason for either.

    That being said, I have run into some lazy nursery nurses. We have some really great LC's at my hospital. I've taken my cue from them, and unless the baby has insufficient voids or is having/showing signs of low blood sugars, we take a "wait and see" attitude and absolutely hold off bottle feeding (at least I do). So many moms think breastfeeding will work properly the minute that baby pops out, and we all know that is not the case. We educate on positioning, waking baby, and frequent (q 2-3 hours) attempts. Eventually, the kid will get it. Hopefully it is without the aid of a bottle, but if the mother absolutely insists, as some do, i will cater to their wishes and "fetch" them a bottle.

    I also encourage my breast feeding moms to allow me to place a little sign on the crib that states "NO BOTTLES". As Kday said, some nurses don't try very hard before sticking a bottle in that kids mouth. I've also known some LC's who will force a mom who has decided to bottle feed to "try it just once". That mom has made her decision, and I feel it's my job to be her advocate no matter what she chooses.

    Back to the origonal subject, when we do supplement, we use bottles. Syringe or cup feedings are rare at my hospital and are only used at the request of die hard, experienced breast feeding moms who have done alot of homework on the subject

    There's nothing I hate more than busting my ass all day helping a mom breast feed, only to come back the next day and find out that baby was given too many bottles during the night & evening, and now we're starting over at square one!

    Was that long enough?
  13. by   timonrn
    We have an LC on only during the 7-3 shift and occ. off shifts only if there is a trained LC nurse--But anyways my theory is do what the Mom wants!! We do not cup or dropper feed--we show the mom and she has to do it. Only an LC nurse is "certified" to do this here. We do not give pacifiers or formula unless mom requests; However if during the night the kid is screaming every -2 hrs, it will go out just as often. We only supplement AFTER breasting if kid is reaching or at the 10% wt. loss, and only AFTER discussing w/ mom--everyone has to be in on the care plan. I freely hand out bottles at mom's request, It's her baby!!! As far as the low BS, we put baby to breast immediately (or 15cc formula if mom is ill)--the few sips of colostrum will 99% of the time bring that glucose up. PS--try working a 12 hr night shift in a nursery of 30 screaming breast babies--we are not too lazy to push a kid out every two hrs, that's for sure--or I will track the MB nurse down if I am alone in there--NO Problem!! but I would NEVER give a bottle to a breast baby unless Mom requests or it is drs orders!! you're just asking for a law suit there!!
  14. by   JennieBSN
    Yes, it IS the mom's choice, and I wouldn't try to get a bottle mom to 'just try it once'...we have a nurse who does that, and I think it's horrible. What gets me about our nsy nurses is that they simply HATE breastfeeding, because it's so much easier to bottlefeed. Having worked in a full term nursery for 2 years, and been the only nurse to 26 babies, I know what it is to have a room full of 'em screaming. But it still doesn't make it okay to slip a bottle to a breast kid WITHOUT ASKING like the lazy nurses I work with. It's so frustrating...labor and delivery at my hospital is the only unit that is actually SUPPORTIVE of breastfeeding, and we get told so over and over again on hospital surveys. I may think formula is nasty and inferior, but when doing my intake on how a mom is going to feed, when she says 'bottle,' I say, 'okay,' and move on. Our nursery nurses hate breastfeeding, and will make little comments to our mothers ALL THE TIME to try to get them to bottle feed!! It really irritates me.

    Okay, off the soap box...just had to vent.

    Heather and Timon, you both make very valid points. Shoving your opinions on EITHER side of it is wrong and bad nursing practice in my opinion. Making a mom feel guilty for changing from breast to bottle is not going to help. I've had moms do this, and they tell me they feel guilty, and my response is always, 'look...the important thing is that your baby is fed...if that's by breast or by bottle, it doesn't really matter. Do what's best for YOU, after all, this is YOUR child. You shouldn't do anything you're not comfortable with.'

    I wholeheartedly believe that.