Hi There,
I do home visits for first time BF mom's.  I see them within the first week for one visit.  Occasionally I come upon an infant 4 - 5 days old with significant weight loss (10% or more), stools less than expected, jaundice,  and concerning feeding pattern.  For these infants I do a pre and post feed weight.  Sometimes during the feed I will see/hear evidence that the infant is swallowing frequently in bursts.  Mom offers breast compression and the swallowing picks up. " Wonderful "  I think.,"Perhaps we have turned the corner."  Then the post weight will reflect a "whopping" 3cc or 10cc feed.  Sometimes Mom's milk ?? "in" .  Sometimes infants are 35ish weeks.
I am led to believe that these infants swallowing reflex is triggered by some milk (or saliva) but then they continue to swallow.  Non nutritive-swallowing?  What do you all think?

Valerie Goodman R.N., IBCLC
Charlottesville VA

mathew j goodman
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