Middle Size Suggestions (white valve):
1.
Beginning Use
2.
Adoptive Nursing
3.
Slow Gaining Babies
4.
Most Sucking Problems
5.
Premature Babies
Large Size Suggestions (transparent valve):
1.
Cleft Palate Babies
2.
Sucking Problems characterized by a tight mouth.
(Faster flow prevents tightening of mouth.)
3.
Severe Hypotonia that results in poor action
by the mouth.
4.
Weak, Lazy Sucking Babies
However, the exact size of tubing needed will depend on
several factors, including strength of baby's suck, reason
for SNS use, etc. It will probably be necessary for you to
experiment with several sizes of tubing. Try the middle
size first. If the baby is not swallowing on every third
suck, try the larger size. If you aren't sure what swallows
sound like, ask your health care professional to help you.
Flow Regulation
The Medela SNS is a very versatile device. It allows the
flow to be regulated in a number of different ways. The
easiest way to adjust the flow is by the size tubing used
(see previous section on tubing size). The larger the tub-
ing the faster the supplement will flow. Three sizes of
tubing are included. This will enable you to adjust the
flow to the baby's need and the particular problem
encountered.
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