Join Date: Oct 2005
Location: Upstairs where its warm.
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First, I would cross post in the preemie forum. Those mamas have the btdt for this situation. Having had a 35 weeker myself, I completely disagree with getting rid of bottles. This baby is clearly demonstrating that she isn't ready to nurse full time. At 37weeks some babies are, some aren't.
Preemies get really worn out sucking. If babe is nursing too long she's burning as many calories trying to bf as she can take in. I'd suggest limiting nursing sessions to 30min max so babe doesn't wear herself out. Mom should pump to stimulate and baby should be offered ebm by syringe or bottle after every single feeding.
My more conservative advice is to alternate nursing + bottle sessions with a bottle/ syringe/cup only session (w/Mom pumping obviously). Let babe build up strength before pushing to go to breast full time. Lots of preemies aren't ready for 100% breast until their approx. due date.
Obviously feed on demand. Feed until she stops, but IMO, don't try to force her to continue. Rest is really important, just as important as food. Actually, 0.5oz sounds like a good session to me (for a 35 weeker at 37weeks). That tiny tummy might really be filling up on 0.5oz. Think in terms of daily intake, not per session. Assuming the babe is still really sleepy, I would not wake the babe more often than every 3 hours to nurse. This will give her time to re-coup her strength before the next session.
How are the bilirubin levels? Jaundice makes babies even more lethargic. Refusing to suck may also be an ear infection?
ETA: Just replace the word bottle in my post with whatever alternative you want to use: SNS, Lact-aid, cup, finger, syringe.