Consistent loss of milk through the nose is NOT normal, even with a fast 
MER. Some babies will put up with pretty much anything and still eat, 
others will refuse to feed if their soft palate is not sealing off their 
nasopharynx properly.

One possible effect of nasopharyngeal reflux (passage of milk into the 
nose) is apnea. This is most likely to happen with very young babies or 
preterm infants.

Any time a baby has an anatomical issue that stresses swallowing, faster 
fluid flow makes coordination of swallowing and breathing even more 
difficult.

If helping the baby compensate seems too difficult for the mother, 
perhaps mom is depressed or in denial that her infant could have a problem.

Catherine Watson Genna, IBCLC  NYC

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