Kathy Boggs,
I share your frustration at getting peds to pay attention to stridor.  I
have begun to refer the baby directly to an ENT in this situation, and
to include that information in the report to the pediatrician.  (Our
standard of practice as IBCLC's is to refer to the appropriate medical
professional, so this is fair, in my interpretation of the guidelines.)
So far, every baby with this feeding pattern you describe has turned out
to have laryngomalacia.  They can manage to breathe as long as they are
not stressed, but feeding (which we know is aerobic exercise for
babies), crying, or any other stress just pushes them over the edge.
Tracheomalacia is another possibility with this feeding pattern.
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

> One little girl I worked with could nurse
> for 3 or 4 minutes and then was totally uncoordinated--did the same thing on
> a bottle.  It seemed she had 3 minutes of suck/swallow/breathing coordination
> and even then it was shaky and then she lost it.  The baby also had
> stridorous breathing and I believe was aspirating with every feeding.
>

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