10/12/2026
These five things keep me up at night and I am not being dramatic.
Triple feeding without an exit plan. I support triple feeding as a short term bridge when it is clinically indicated. What I do not support is a family doing it for weeks with no reassessment, no goal, and no one checking in. Triple feeding is exhausting in a way that is genuinely hard to describe and it needs a plan and a timeline.
Mastitis. Always. But especially heading into the holiday season when everyone is traveling, schedules are off, feeds get skipped, and no one is paying attention to how mom is doing. Please do not push through a hard, red, hot spot hoping it resolves. It will not.
Tongue ties identified with no support or care plan. A diagnosis without a plan is just information. If someone told you your baby has a tongue tie and sent you home, you deserve more than that.
Ni**le shields handed out with zero follow up. Ni**le shields can be a genuinely useful tool in the right situation. They are not a discharge gift. Handing one to a new mom with no instruction, no follow up, and no weaning plan is setting her up for a very long road.
Six month waitlists for babies who need help today. A baby who is struggling to feed cannot wait six months. Every week matters in those early months and families deserve access to support that actually meets the urgency of what they are going through.
There is nothing like sitting across from a family who had completely run out of hope and watching things start to shift. That is the whole reason I do this.
If you are a local family in the Cedar Rapids or Marion area who has been turned away, put on a waitlist, or just sent home with a shield and a prayer, we have openings at Nourish Pediatrics right now. DM me or head to the link in my bio.
feedingtherapy infantfeeding SLP pediatricSLP feedingtherapist slpeducation infantfeedingtherapist clinicianlife feedingSLP nourishpediatrics cedarrapids cedarrapidsmoms speechtherapy marioniowa
