Those choking babies need to have paced bottle feeds, not thickened milk. If
they are choking but don't have reflux, the problem is poor bottle feeding
technique (i.e. too fast flow rate overwhelming low tone babies who can't
swallow with much coordination.) Pacing is an OT technique during which the
feeder takes resonsibility for helping the baby regulate and pace breathing
with sucking and swallowing.  There is a written description and photos of
the technique in the new edition of The Breastfeeding Atlas (which I have an
interest in because I co-author it), but also there are other references for
it, for instance Wolf and Glasses Feeding and Swallowing Disorders in
Infancy, and an article in JHL by Kassing (JHL  2002;18(1):56-60) also
describes a similar technique.


Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com

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