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How do I stop my baby from choking on breast milk?

Understanding Choking in Infants During Breastfeeding
Choking on breast milk can be a distressing experience for both parents and infants. It often occurs due to an overactive let-down reflex, where the flow of milk is too forceful for the baby to handle. This can lead to gagging, coughing, or even choking as the baby struggles to coordinate sucking, swallowing, and breathing.
Causes of Choking
1. Overactive Let-Down: This is a common issue where the milk flows too quickly, overwhelming the baby. Infants may not yet have the ability to manage the rapid flow, leading to choking incidents.

2. Milk Oversupply: Similar to overactive let-down, an oversupply of milk can cause the baby to gulp quickly, increasing the risk of choking. Signs of this include the baby being restless during feeding or frequently pulling off the breast.
3. Positioning: The way a baby is positioned during feeding can also contribute to choking. If the baby is lying flat, it may be harder for them to manage the milk flow.
Strategies to Prevent Choking
To help prevent choking during breastfeeding, consider the following strategies:
– Adjust Feeding Position: Keep your baby in a more upright position while feeding. This can help them better manage the flow of milk and reduce the risk of choking.
– Manage Let-Down: If you notice that your let-down is particularly forceful, try to express some milk before latching your baby. This can help reduce the initial flow and make it easier for your baby to handle.
– Take Breaks: Allow your baby to come off the breast as needed. This gives them a chance to breathe and swallow without being overwhelmed by the milk.
– Monitor Feeding Cues: Pay attention to your baby’s cues. If they seem to be struggling, take a break and allow them to recover before continuing.
What to Do If Choking Occurs
In the unfortunate event that your baby does choke, it’s crucial to act quickly. Immediately stop feeding and keep your baby in an upright position. If they are unable to cough or breathe, you may need to perform back blows or chest thrusts, similar to adult first aid techniques.
Conclusion
While choking can be alarming, understanding the causes and implementing preventive measures can significantly reduce the risk. Always stay attentive during feeding sessions, and don’t hesitate to seek advice from a healthcare professional if you have concerns about your baby’s feeding habits.

Why is my baby gulping and gasping while bottle feeding?

What causes newborns to make gulping noises while feeding? Laryngomalacia is the most common cause. It occurs because in these babies their airways are not completely developed. The floppy tissues are covering the voice box, making them sound squeaky and have strider. This condition is common but not normal.

How many let downs per feed?

The let-down reflex generally occurs 2 or 3 times a feed. Most people who breastfeed only feel the first let-down. The let-down reflex can also occur with stimulation of your breasts, such as by your partner.

Is it normal for babies to choke on breastmilk?

Choking and gagging during feeding is common in young infants,” says Robert Hamilton, MD, FAAP, a pediatrician at Providence Saint John’s Health Center in Santa Monica. Hamilton says babies are born with an exaggerated but protective “hyper-gag reflex,” which can cause gagging while feeding.

What should you not do while breastfeeding?

What foods and drinks should I limit or avoid while breastfeeding?

  • Alcohol. There’s no level of alcohol in breast milk that’s considered safe for a baby.
  • Caffeine. Avoid drinking more than 2 to 3 cups (16 to 24 ounces) of caffeinated drinks a day.
  • Fish. Seafood can be a great source of protein and omega-3 fatty acids.

What is the correct position to breastfeed to avoid choking?

Supporting their neck, shoulders and back should allow them to tilt their head back and swallow easily. Always bring your baby to the breast and let them latch themselves. Avoid leaning your breast forward into your baby’s mouth, as this can lead to poor attachment. Your baby needs to get a big mouthful of breast.

How do I make sure my baby doesn’t choke on milk?

Your baby often chokes while drinking

  1. Change to a slower nipple.
  2. Take short feeding breaks.
  3. Avoid laying your baby on her back during feeding since milk will flow into her mouth even when she’s not sucking.

Why is my baby gulping and gasping while breastfeeding?

Usually, this happens when mom has an oversupply of milk. According to the La Leche League International (LLLI), common signs of oversupply include restlessness at the breast, coughing, choking, or gulping milk, especially at let down, and biting on the nipple to stop the flow of milk, among others.

Is it common for babies to choke while breastfeeding?

Hyperactive milk ejection reflex
This is usually not a problem for older babies, who are already more skilled and have a slightly larger mouth. But for newborns and babies of a few months old, the fact that the milk comes out with such power can bother them, and they can struggle and seem to choke and gag.

What to do if baby aspirated breast milk?

How is aspiration in babies and children treated?

  1. Making changes in position and posture during meals.
  2. Changing the thickness of liquids.
  3. Changing the types of foods in your child’s diet.
  4. Doing exercises to help with swallowing (for an older child)
  5. Medicines for GERD.

How to avoid choking while breastfeeding?

If this happens during feeding:

  1. Try nursing your baby in a more upright position (head above the breast). This may ease the force of the milk.
  2. Nurse in a side-lying position, which also might help slow the flow of milk.
  3. Make sure your breasts are not engorged or over-full.
Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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