Karen Gromada asked:

>Debbie, is no one asking 'why?"? Was this 4 month old born preterm? If yes,
how is the baby's feeding history possibly contributing to aspiration during
normal feeding? (With the "get more in faster" way many preterm infants
often are bottle-fed, it's a wonder more don't develop aspiration, feeding
aversions, etc.) If this baby was term, what is going on that a normal term
infant, who should be able to feed normally, is aspirating? And why is it
acceptable to bandaid a problem by using a thickener vs. really trying to
find out what is going on with this baby?<

Exactly!
This is one of my triggers - adding MORE interventions when the
side-effects are causing problems instead of discovering the cause of
the original concern.

>And what is meant by the word "allow"? How is it up to docs (who don't seem
to be even trying to discover cause) to "allow" or not this baby to BF? I
would wonder about positioning at breast, whether mom has a particularly
strong MER flow and/or "super" production, etc. and what interventions were
tried...<

Karen, you must be living in my brain :)
Sounds to me like this mother needs to get a second opinion,
preferably from somebody who iis familiar with good breastfeeding
management.



-- 
Norma Ritter, IBCLC, RLC
Breastfeeding Matters in the Capital Region
[log in to unmask]
www.NormaRitter.com
http://normaritter.blogspot.com/

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