I've seen quite a few cases of mild dysphagia and aspiration in breastfed babies. Often extending the head and changing positions as Barbara Latterner pointed out is enough to improve the situation. I would also recommend very short, very frequent breastfeeding. Often babies with dysphagia will decompensate as they tire, keeping the feeding short might minimize the aspiration and also help rachet down mom's generous supply a bit. If mom's MER is very strong, this could be contributing to the problem. A nipple shield can be helpful while the supply is decreased, as Barbara Wilson Clay wrote. -- Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html