Cathy writes:
Katsumi Mizuno found that coordination of suck:swallow:breathe was better
in infants bottle fed human milk than in those bottle fed (in the same
bottles) with formula or water. One would think the water would flow fastest
and create the most difficulty, but that was not his result.
Mizuno, K., Ueda, A., & Takeuchi, T. (2002). Effects of different fluids
on the relationship between swallowing and breathing during nutritive
sucking in neonates. Biol Neonate, 81, 45-50.
~~~
Cathy, Thanks for bringing up this study. I mention this all the time when
mom are discouraged about having to pump and bottlefeed their compromised
little ones, that the baby is safer and more comfortable with mom's
expressed milk than the formula( or babies struggle more and are more stressed on
formula). I hope I didn't sound like I was saying that formula was
better/safer, simply that in the baby's experience it was different. One thing this
reminded me of: mothers, doctors, pretty much everyone today except for
those of us who have learned to look, see and hear more subtly: babies who
gulp down bottles, babies who slobber/dribble milk as they feed, babies who
speed through bottles or make a lot of noise as they eat, are seen as happy,
and very hungry babies. We still need a massive re-education of how to help
a baby eat more safely and comfortably using an artificial nipple or any
assistive feeding device. It goes back to one-on-one observation and time
spent with a family, pointing out that a baby who "prefers" formula may seem
to do so, but may in fact be wide-eyed, fingers splayed, gulping, gasping,
losing milk, or any combination of stress cues we see that others mistake
for hearty interest. It is also sometimes a good time to point out that
sometimes babies who are struggling at breast, are also struggling at bottle,
it can just look/sound very different.
Thanks, Cathy,
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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