On Mon, 17 Apr 2006 12:54:46 -0700, Vicki wrote about an apparent life
threatening event (ALTE).



Dear Vicki, I felt terrible when I read about what happened to Lachlan, and
I am glad he is out of the hospital and doing better.  It occurred to me
that maybe all of this ties in together:  few BMs, OMER, problems with
sucking and swallowing (S&S) properly, and coordinating S&S with breathing
properly.  Often the healthcare providers label it reflux but rarely is that
the case.  Usually, someone who is well-trained in suck assessment, and what
to do to improve it, can alleviate the problems.  If the baby cannot or does
not have to suck appropriately (as in the garden-hose flow), he cannot
swallow and breathe correctly, and he does not have good gut motility.  It
all starts with the movement of the tongue.  In working with babies who were
diagnosed with reflux, I found that it was often improving breastfeeding
management that got rid of the "reflux."  Increasing the frequency/number of
feedings, positioning the baby more carefully, changing the block of time of
feeding on one breast for overabundant supply/OMER (e.g., going from using
the same breast for all feedings in 6 hours to maybe 10, 12, or more hours,
while at the same time not becoming engorged on the other side), suck
exercises to improve peristalsis, etc - they all seemed to help.  Maybe one
or more of those ideas would help Lachlan; I hope so.  Best wishes!

Lee Galasso, MS, IBCLC, RLC














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