[Dysphagia] thickening breast milk

[scott-dailey at uiowa.edu (Dailey, Scott)]

To add to Irene's notes, if would could reliably get an idea of how much breastmilk this child is aspirating it would add to the decision making.  How does the infant act duirng a feeding, if it is very stress full due to coughing, gagging/avoiding then oral feeding is not pleasant.  Is there a reason the child cannot feed at the breast. Here the infant can control the flow much better than even a slow flow nipple as long as the mother's milk is not running out of the breast which is rare.  I would say breast milk is the best even if aspirating some because it comes with antibodies to help fight any infection(if there was achance of developinig one)..
 
Scott

	-----Original Message----- 
	From: dysphagia-bounces@b9.com on behalf of Irene Campbell-Taylor 
	Sent: Thu 7/8/2004 11:31 AM 
	To: Staci Michael; sorriso@adelphia.net; dysphagia@b9.com; Kate.Farabaugh@bannerhealth.com; epwest@sympatico.ca 
	Cc: 
	Subject: RE: [Dysphagia] thickening breast milk
	
	



	Staci Michael <MICHAEL@email.chop.edu> wrote:
	Then what do you suggest for an infant/family in the situation I have described. Given that the literature is implying no benefit of thickening, given that the swallow study reveals otherwise... do you recommend no longer oral feeds?
	
	** I didn't notice anyone making that suggestion. One assesses and treats, as far as possible, the reflux first.
	
	
	
	Dr I Campbell-Taylor
	Clinical Neuroscientist
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