Thank you, Laurie, Nina and Karen, for your suggestions and explanation as to what could be the problem with this baby. It was very helpful for me and I will meet with the mom again to discuss your ideas. 

I am sending them to a speech pathologist who has a specialty in oral rehabilitation and an interest in working with special needs children with feeding problems. I hope she can evaluate them and refer them further to an apropriate specialist.

We will discuss again an alternative method of feeding in the meantime. I think spoon feeding could be accepted better in this family then the other alternatives, because mom herself was a premie, born 6 weeks early and the grandma fed her with a spoon and EBM for more than a month before she learned how to breastfeed. So it is a method of feeding they know of and are convinced that it works. 

I am worried though as to whether it is appropriate in this situation - I fear the risk of aspiration which seems to me a bit bigger with this method and baby's apparent breathing troubles?

Christina Yaneva
BF Peer Councellor
Bulgaria


      

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