Despite all the theoretical reasons for which we say children with
Trisomy 21 should have difficulty with breastfeeding (low tone, large
tongue), my experience is that, as long as there is no interference
(necessary for cardiac or gut problems, or unnecessary, as often
happens), babies with trisomy 21 do well breastfeeding.  They take a
little longer to get going, but once they do, they usually do fine.

Of course, mothers with babies with no problems often have unnecessary
problems.  However, it is not my experience that the babies needed
supplementation, with nursing supplementer or otherwise.

Jack Newman, MD, FRCPC