Michelle, over the years I have had moms ask me "how" to make yogurt out of 
breastmilk. Usually, it is not a medical need, but a feeling that yogurt is a 
somehow, magical food, and that it would be "better" for the baby then human 
milk in it's natural state. I advise them that human milk taken the way it comes 
out of the breast is the safest and most advisable way to get it into a baby.

However, your client has a baby with some swallowing problems.
Rather than mess with probable bacterial contamination, causing unknown 
problems with changing the composition of human milk etc, I can advise a 
product (which I have no financial stake in and in fact have never used 
myself, but saw used with children with muscle problems and inability to 
swallow) called "Thick It." This is commonly used with children and adults with 
CP, different types of neurological and muscular issues which effect 
swallowing "thin" liquids. 

"Thick It" is added to a fluid to make it easier to swallow. 

It can be purchased at most drug stores. It is not supposed to effect the 
nutritional composition of the foods it is added to. 

However, a baby with an issue as this, may need Occupational and Physical 
Therapy, and starting in infancy is really best. She may want to talk to her 
baby's doctor about the swallowing issue, and who to see about any future 
problems the baby may face due to muscular disabilities. 

One question: Does this baby have a problem with swallowing WHILE actively 
breastfeeding? Or is only when the milk is given as some type of supplement 
with a different transfer method? (Bottle, spoon, cup, SoftFeeder.) 

Mary Jozwiak IBCLC, RLC LLLL

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