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Our ST and doctor has put Emaline on rice cereal in her breastmilk bottles to help with her feeding issues. She seems to do much better on thickened feeds, but I'm just not sure about it. I mean, it's really working. Her reflux is 100 times better than it was and she's actually using the suck-swallow-breathe sequence instead of letting the food drip into her mouth, attempting to swallow and choking.
But I'm just not sure about the rice cereal. She's 5 months old, 3 months adjusted. It's really early to have anything in her diet except breastmilk.
What do you think? It is helping a lot, but it just doesn't sit right.
|Her reflux is 100 times better than it was and she's actually using the suck-swallow-breathe sequence instead of letting the food drip into her mouth, attempting to swallow and choking.|
I would do what works for baby. In my experience, thick it does not work well in breastmilk. There are not a lot of other options for thickening breastmilk. There is a gel that is marketed as something to thicken breastmilk, but the FDA just came out with a statement to not use it (I just went to a fragile infants feeding course). If breastmilk needs to be thickened, they (at the conference) recommended rice cereal.
I understand your concerns. It sounds like your babe is doing better and enjoying eating more with the thickened feedings perhaps due to both the reflux reduction and the better handled flow rate. I am assuming that you tried a slower flow nipple first??? If you didn't, some bottles have nipples that go slower than others, so that may be beneficial rather than thickening (although "slow" flow on the label doesn't necessarily mean that). It really depends on your babe. Slowing the flow down wouldn't necessarily decrease the reflux and it sounds like that has improved. Sorry, I just started working in our NICU and doing lots of feeding stuff with babes at work. Didn't mean to get all technical on you. PM me if you have any other questions.
It's a challenge to balance what feels right to us and what seems to work for our kids. I hope that you are able to find a balance.
We used Thick-It with breastmilk for a long time. It worked fine. I would be interested to know why it wouldn't work? At the hospital, they told me not to use rice cereal because the enzymes in breastmilk would break down the rice cereal and make it not thicken properly.
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