Occupational Therapist



Miss C being cleaned up



The occupational therapist came by the other day to assess the whole feeding predicament with Ceilidh. The problem being that she doesn't seem to bottle her whole feed (60 cc) in one sitting. After the OT spent some feeding time with us her watching the prognosis is that Miss C knows what she is doing ie she can grasp the bottle and suck, she has those capabilities, so the issue is not capabilities. The consesus is that she doesn't deal well with the tummy pressure caused by bottle feeding or breast feeding. When she is fed by feeding tube it goes in so gradually that she can tolerate that, but even then it is over 40 minutes and it was over 50 minutes just the other day. Left to her own devices it would take her too long to feed before her next feeding is due. Not good. The plan for now is to have her either bottle or breast feed while she is being fed simultaneously through her feeding tube. So far this has worked really well with the bottle. She takes down 15 cc by bottle and the rest is given by feeding tube. The breast is not going as well but it would also be harder to gage what she really takes in. It also depends on her moods. She is more awake and alert these days, which will only help in terms of her understanding cues to eat. Little Miss C has her own schedule she follows.



Getting Miss C ready to eat