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Case Study: Mark |
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CASE STUDY: Mark
Date of Birth: July 26, 1989
Birth Weight: 3.51 kg
Discharge Weight: n/a
Infant's particular difficulty with oral feeding: Bilateral cleft lip and palate.
Type of feed given:
Initially Mark was fed on Cow & Gate Premium with a lamb's teat. Both mother and baby found this difficult and distressing, only 20mls being taken each time.
The method of feeding, prior to prototype feeder:
Most surprisingly Mark's weight dropped over the next few days to 3.09 kg. He was admitted to the special care baby unit, where he was first fed by nasogastric tube and then spoon-feeding was introduced. His weight increased by 130gms over this period.
By the time he was a week old, he was taking these feeds fairly well, managing 50-60mls 4 hourly. However, he appeared to gain no satisfaction from the method and his weight increased only 10gms over 2 days.
These feeds lasted approximately 1 hour. He regurgitated fairly substantial amounts of milk and suffered a great deal from flatulence.
Mark was discharged home after a further 23 days and a gain in weight of 30gs.
This method of feeding continued for 2 weeks, when Mark was fitted with a feeding plate. With this, he would take 100-120mls, 3-4 hourly but with the continuing disadvantages of regurgitation and wind. Feeds were still taken over an hour.
After a further week, the mother was made aware of the Haberman feeder, and she introduced Mark to it. He immediately started to feed with obvious enjoyment, taking 120mls plus in 30-40 minute. There was little change in the level of flatulence, but the amount of regurgitation was dramatically reduced. Baby Mark's weight increased apace.
The mother had a very worrying and anxious time whilst her baby was so hard to feed and not thriving. When Mark started to enjoy his feeds, her relief was immense. |
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