Cate asks:

Our NICU has brought in an SLP (speech language pathologist) from
another
city to write our feeding protocols.  She is using rice cereal and
SimplyThick mixed with both EBM (expressed breastmilk) and ABM
(artificial
baby milk),then bottling.

We have a perinatal dietitian who is concerned about this, as are the
IBCLCs.  These are babies without a diagnosis of GER.  They have been
observed choking when given supplementary bottles.

My question is, does anyone know anything
about thickening being used to prevent choking or aspiration?  More
importantly, is there any science to which I can refer?

Please give me anything you have ASAP.  I must attend a meeting with
these
people tomorrow.

My question is? Where is the SLP's reference?  It sounds like something
this person is extrapolating from what is suggested when there IS GER.
Certainly there is no reason to do this with ALL non-at-breast feeding.

Winnie

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