Squeeky swallows can be from laryngeal penetration (vocal cords closing 
as baby has to close the airway to swallow while trying to breathe) or 
laryngomalacia or other airway instabilities. The squeek from laryngeal 
penetration is usually very brief, the squeek from laryngomalacia is 
longer and on the in-breath, and from tracheomalacia is on the out-breath.

  Straddle hold or 'laid back' positions can really help. We don't want 
loud or squeeky swallows! Quiet 'cuh' swallows are least effortful and 
usually are larger mouthfuls than 'hard' gulpy swallows.

Catherine Watson Genna BS, IBCLC  NYC  www.cwgenna.com

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