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Case Study: Sean S |
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CASE STUDY: SHAUN S
Date of Birth: September 12, 1986 (twin 1)
Birth Weight: 4lb 15oz
Discharge Weight: 5lb 1oz
Infant's particular difficulty with oral feeding: Unilateral cleft lip and palate (right side).
Type of feed given:
Expressed breast milk for approximately 5 days. Then milk dried up. From then until the present time he was fed on SMA Gold Cap.
The method of feeding, prior to prototype feeder:
a) Due to difficulty in feeding - sucking by not getting anywhere - orogastric tube feeding.
b) Prototype feeder on Day 2 only - I was told it was dismantled for cleaning. The valve did not work after so this had to be discontinued. (Prototype not available prior to Day 2)
c) Newborn Teat with extra holes.
d) Lambs Teat x 2 feeds not successful
e) Newborn teat with extra holes
f) Used the above until two and a half weeks ago when the mother obtained a new feeder from Mandy Haberman
Comparison:
Conventional
Example:50mls
Took 1 1/2 hours to take
Struggling at times needed holes in the teat (almost like a pincushion) to be successful.
No previous babies to compare with for Mum.
Prototype
Example: 50mls
Took 20 mins to take.
Took feed easily and quicker. Slower only occasionally.
Happy with the Haberman feeder because Shaun took much less time to feed, was less tired, less 'windy' and therefore settled better.
Mum is very happy to have found a method of feeding which is quick and easy, particularly having two babies with a similar problem. She is relieved to have found a solution to such a difficult problem (applies to Danny also).
Any noticeable changes in the degree of flatulence and regurgitation?
Shaun appeared to possett more often (approximately 10mls) on the conventional teat. This was probably due to having so many extra holes in the teat and taking in air.
He does also get 'wind' on the prototype feeder (uses Dots 2&3)
Since obtaining the prototype feeder two and a half weeks ago, Shaun has been feeding very well and is now taking 100 - 120mls 4 hourly. (10/10/86 695mls in that 24 hour period.)
Comment relating to the new prototype:
Mr and Mrs S felt these points were valid:-
They felt by removing the valve from the cylinder caused the feeder to weaken. Then it would not work properly. Mother felt it would be better to cleanse it with salt and flush through with boiled water without removing it.
Dots to signify the rate of flow. It was felt these were difficult to see. They could be coloured. Mrs S said if she was not wearing her glasses, she could not see them and had to feel for them. There was leakage from around the shank. If the top was screwed tighter the valve did not work - if loosened there was leakage from between the bottle top and teat.
Generally mother and father are happy with this feeder. |
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