[Dysphagia] lactation and infant reflux

[otto at email.chop.edu (Staci Otto)]

Monitoring her diet was my first thought as well, although I get mixed
messages here about the validity of doing that- Suzanne do you have any
literature references that support doing that?  We had a very similar
case recently but when I began conversations about mom's diet they were
blown off by our lactation and nutrition folks.  Oddly enough this baby
had much less reflux activity with thickened breast milk through the ng
tube- again, a practice NOT supported by literature but clinically with
quite a significant improvement (the baby in this case was fed ng due to
identified aspiration... not a suggestion for this particular child,
just a comment)

I appreciate any references you have Suzanne and good luck with this
situation, Laura

Staci Otto MS CCC-SLP
Children's Hospital of Philadelphia
215-590-7959

>>> <SuzMorris@aol.com> 02/09/05 9:56 PM >>>
Laura,

Has anyone talked to the mother about monitoring her own diet while
breast 
feeding?    Allergies can cause or contribute to reflux in infants and
the baby 
is going to be essentially eating everything that the mother is eating.
   It 
is a good idea for her to eliminate dairy, wheat, citrus, corn, tree
nuts, 
peanuts and other foods that are considered high-allergen foods for
infants.    
She may not see changes in her baby immediately since it can take 4-5
days for 
the effects of a food to clear out of the body.

Suzanne



Suzanne Evans Morris, Ph.D.
Speech-Language Pathologist
New Visions
1124 Roberts Mountain Rd.
Faber, VA 22938
(434) 361-2285 ext. 5
www.new-vis.com 




In a message dated 2/9/05 9:49:01 PM, laura@jonjennings.com writes:


> hello all -
> i have a friend who gave birth to a full term infant via c-section
two weeks
> ago.  baby presented with projectile vomitting and reflux on mother's
milk
> through both the oral and nasal cavities in the days after birth,
even
> though baby is feeding well at the breast.  baby has suffered 2
instances of
> breathing cessation (1 in the hospital and 1 at home) during which
the child
> turned blue.  my friend was in the hospital for almost a week after
the
> birth and was never seen by an SLP or a lactaction consultant.  i
just read
> the ASHA leader article on lactaction consultants and SLPs teaming up
for
> infant feeding tx, hence the post.  the baby has to wear a heart
monitor
> while sleeping on a wedge cushion to sustain upright posture during
> sleeping.  other than this, mom has not been educated about other
> compensatory startegies/techniques that she can utilize to minimize
the
> effects of the reflux and maximize nutrition in her baby.  i would be
so
> grateful if anyone who has expertise in neonatal feeding/reflux could
offer
> their recommendations on techniques or helpful resources that i can
pass
> along to mom.  thank you all in advance!
> 
> Laura
> 



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