Angie writes:

If you look  at the speech pathology type of texts, there are windows of 
opportunity  for oral feeding and transitioning of skills. 


~~
I have heard this idea before, about windows of opportunity. I wonder if  
there is any evidence for these windows that are actually based on studies of  
babies who are only normally fed, receiving no artificial feeding at all. Since  
flow rates between human milk and artificial human milk are inherently 
different  even in the same bottle, and a baby who is artificially fed gets the same 
 tasting, un-adapting food every feed, every day, for months on end I don't 
know  if we can say that is true of normally feeding babies. These babies may 
be bored  and need ANY\thing that has a decent taste to it, they may have not 
developed  the same level of feeding skills, or sensory processing skills, 
their guts  are different, etc. I guess this explains why a mom whose baby is  
gagging and vomiting on solids at 11 months was told by the local SLT highly  
recommended by some IBCLCs, that it is her fault for not starting  solids at 4 
months. Meanwhile it turns out the baby's father had multiple  esophageal 
surgeries himself, but mom forgot this, since it was years ago. ( I  am not the 
mom's LC, I am simply her local LLL support in this situation.) I  would really 
love to find some evidence that this window thing actually applies  to normally 
fed infants who are offered appropriate complementary feeds around 6  months, 
as AAP and WHO/UNICEF suggests...
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA




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