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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