---
>  
> I watch how the lips grip the bottle, if milk dribbles out of the mouth, 
> I watch how the tongue moves, and I watch how long it takes baby to 
> remove the milk.  If baby can't remove milk from the breast but mom has 
> a good milk supply, I may want to see if baby can bottle feed properly. 
> 


Even this can be difficult to interpret. There is research evidence that babies will "maladapt" to too fast teat flow by lowering oral tone and letting some milk dribble/drool out so they can better deal with the bolus and protect the airway. How fast (or slow) milk is removed can also depend on teat flow rate. 

Karen

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