Mrs M
A tricky situation....given that your dsis' lo is only a few days old, her decision is not irrevocable. How would she feel about you not expressing your feelings on her decision, when she has more perspective on the whole experience? I am not saying that it is an easy discussion to have, it's just that in the days after you have a baby and they are in SCBU everything is so far from normal you just don't think straight sometimes.
I suspect that what the nurse meant may have have been that bottlefed babies go home quicker - because you can see how much they are taking and the teats used in SCBU/NICU normally don't require a baby to be sucking well. Not the same as formula fed.
However it can take time for a mildly premature baby to properly learn to feed - when that's the only thing keeping them in hospital then it's frustrating.
You could discuss things with your dsis along the lines of:
- she could continue to express so that he gets her milk fed to him via tube or bottle
- she can express and try to establish feeding but accept that it may mean a few extra days in hospital, which in the scheme of things, and with distance won't seem so much.
It is also worth pointing out that life with a low birth weight premature baby at home is demanding and can be very isolated - they tend to feed more often because they are smaller and more immature and unless the baby has ongoing medical needs you don't get any additional support from community midwives or hvs with either care or feeding. In most SCBUs you can ask, and get, help with feeding from either the neonatal nurses or the hospital infant feeding specialists.
However, I'm writing on this from the perspective of my dd having spent 8 weeks in SCBU so had accepted early on that we would be there for a long time - I think it feels very different when it's a matter of days.