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Tue, 14 Jul 2009 14:34:25 -0400 |
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First off, was the baby aspirating DURING BREASTFEEDING? Were there
clinical issues (recurrent pneumonia?). Often, a baby who aspirates
while being bottle fed on a videofluoroscopic swallowing study is taken
off the breast, even though they are doing better at breast, so milk can
be thickened. There are problems with nutrient absorption with
thickeners according to research studies, and thickening is not all that
effective either. Lisa Sandora (speech therapist and IBCLC) and I cover
this in chapter 1 of Supporting Sucking Skills in BF infants, which you
can read online at Google books (so no commercial intended). The refs
are there too.
If the baby was not aspirating during bf, or was not having clinical
problems due to aspiration, then management changes to improve baby's
ability to handle flow may be sufficient. You can help with that! If the
baby was having clinical problems from bf, then perhaps feeding with
thickeners is justified.
Catherine Watson Genna, BS, IBCLC NYC
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