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Subject:
From:
Debbie Gillespie <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 20 Sep 2006 03:34:49 -0400
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I found this topic of the Wolf and Glass presentation so fascinating 
(okay, I thought the entire two days were absolutely delicious), but 
recall the pattern to be suck/swallow/exhale/inhale/suck/ etc.  Just in 
case it's relevant to the argument, I thought I'd check, especially since 
I have the Wolf and Glass Syllabus already out on my desk, I double-
checked my memory.  The study they referenced for this pattern was:

Selley, W.G., R.E. Ellis, F.C. Flack and W.A. Brooks. 1990.  Coordination 
of sucking, swallowing, and breathing in the newborn: its relationship to 
infant feeding and normal development.  BRITISH DISORDERS OF COMMUNICATION 
25:311-327.

I googled the study hoping I could read it myself but don't have the 
proper memberships to access anything beyond the summary.  In that google 
search, though, I found another study that quotes Selley's study, 
titled "Measuring Breathing and Swallowing Coordination in Human Infants 
using Kay Elemetrics Swallowing Workstation."

It says, "Nutritive swallowing of healthy full-term infants occur 
predominately at the inspiratory-expiratory cusp, otherwise in mid-
expiration and occasionally at the expiratory-inspiratory cusp.  An infant 
whose breathing-swallowing coordination deviates from this pattern could 
be considered, 'disordered.'  For instance, premature infants (33 weeks 
post-conception), unlike full-term infants, swallow predominately during 
respiratory pauses."

I think it's interesting to note that it specifies, "The adult pattern of 
breathing-swallowing coordination during eating and drinking is well-
established, with 75-95% of swallows beginning in the respiratory phase 
compared to 39% in newborns."  Maybe this is part of the "mature swallow" 
mentioned during the W&G conference.

The link for the study in PDF is:

http://www.kayelemetrics.com/Kelly%20Huckabee%20Measuring%20Breathing%
20and%20Swallowing.pdf#search=%22Coordination%20of%20sucking%2C%
20swallowing%2C%20and%20breathing%20in%20the%20newborn%3A%20its%
20relationship%20to%20infant%20feeding%20and%20normal%20development%22.

Food for thought...

Debbie Gillespie, IBCLC, LLLL, feeling very study-oriented after a weekend 
following Linda J. Smith around at the local LLL Area Conference.
Tempe, AZ

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