I hope this reply is not too late to be useful. It is not only possible but likely that an infant would coordinate swallowing better at breast than on the bottle. Are there any signs of aspiration while the baby breastfeeds? (mistimed swallowing sounds, coughing, little funny gurgling noises, increasing nasal congestion as the feeding progresses?) If not, the mom can try breastfeeding him and see if his breathing remains clear and he remains healthy. It should be possible to do a videofloroscopic swallowing study while breastfeeding. The machine would have to be redirected , but most of them are moveable. Catherine Watson Genna, BS, IBCLC NYC *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html