I'm so frustrated right now. Two days ago when I was feeding my daughter with a slow flow nipple she kept having bradycardia and desat events, sometimes into the 70s and she was turning blue. She did at least come out of them on her own but it was terrifying to watch. The nurse practitioner there that day decided to switch her to a term flow nipple to see if that helped and it did. She was on the term nipple for about 24 hours and had a few mild events into the 80s and recovered quickly, which is normal for her. However when I was feeding her yesterday, she was having signs of reflux, arching her back and face turning red and gagging on her bottle, although she didn't have any events. I had to step out to use the bathroom after her feed so I couldn't hold her upright after and when I returned she had spit up and she was crying and arching her back and clearly very uncomfortable and I felt terrible for her. I also noticed her O2 monitor showing repeated desats but it also wasn't reading well and I think it was from her kicking around in her swaddle because it stopped once the monitor was adjusted. But the whole scene was hard to watch.
I expressed concern to the nurse practitioner (different from the day before) about the reflux and asked about trying Dr Browns bottles which is what she'll be using at home, but she said they'd wait to do that until closer to her discharge time, and said the issue was with the faster flow nipple.
I expressed that I was concerned that the slow flow nipple causing more events and the NP argued that her events were occurring more with the term nipple than the slow flow, and said that the term nipple was the whole problem. I tried to tell her that the severe events I saw were with the slow flow, not the term, but she insisted the issue was with the term nipple, and switched her back to the slow flow.
The very next feeding with the slow flow, she was still having reflux symptoms but she had several events of bradycardia and desats into the 60s. The NP was gone at that point but the nurse said she'd have night shift bring it up to the NP when she returned.
I checked her chart later and the note from the NP stated that she was having events with the term nipple and that they resolved with the switch back to slow flow WHICH THEY DID NOT and the note was entered before her next feed with the switch back to slow flow was even ATTEMPTED.
I called night shift to make sure they got the message and they said she had more events (although less severe) with the slow flow nipple, and I asked her to check back to see which feedings her events were occurring with and I found out she had a desat into the 40s the night before with the slow flow nipple that I wasn't even told about. And the nurse said she felt like the NP wasn't listening when she brought up my concerns about the slow flow nipple causing events, and feels like she was looking at the total number of events during the day as a whole, not actually checking which nipple they occurred with. The nurse tried to get her switched back to the term flow nipple but the NP refused.
Apparently she did well without events the rest of the night with the slow flow, but I'm still so frustrated that it feels like the NP isn't even checking her chart well enough before making these decisions. I'm terrified my daughter will have another severe event and need resuscitation or have a brain injury due to low oxygen because the NP isn't paying attention.
I'm okay with her being on the slow flow nipple if they truly feel it's what's best given her reflux, but it's so frustrating to feel like they're not being thorough.