Stridor (the high pitched noise during breathing) can occur whenever 
there is narrowing of the airway, or if the vocal folds are trying to 
snap closed in response to fluid entering the larynx during a poorly 
coordinated swallow. If the stridor is associated with signs of 
excessive work of breathing (retractions of the chest, flaring nostrils, 
etc), it's likely to be structural weakness in the airway. 
Laryngomalacia is the most common, tracheomalacia next most common. 
These babies have a lot of difficulty coordinating swallowing and 
breathing.

Using a slower flow bottle (like the Playtex Drop ins bottle with a 
NaturaLatch nipple) might make it easier for this baby, particularly if 
the baby is laid on mom's lap (sidelying) or sat up for feeding. Holding 
the bottle so the nipple is only half full of milk will also help slow 
the flow to what the baby can handle. Baby might be able to breastfeed 
better in upright or prone positions. There's lots of info in Supporting 
Sucking Skills about all this.

I tend to distrust advertising. Caveat emptor and all that.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com

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