I think a pacifier might help. See if baby will start to suck on it and
develop some sucking coordination or rhythm without fluid. If he does so
then maybe a nipple shield could be used to transition baby from bottle.
However, it certainly seems there is a possible neuromuscular abnormality in
this baby.  I would recommend to the parents that the baby be fully
evaluated by a competent specialist, like peds neuro or ENT. I would chose
the neurologist. Just because the baby can eat by bottle at this point, we
all know that is a silly thing to say, but what about eating other foods
later, not even to mention he should be able to breastfeed.
Hope parents pursue further evaluation of this infant.
Laurie Wheeler, RN, MN, IBCLC
MISSISSIPPI USA

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