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What to do when an infant chokes on milk?

Understanding Infant Choking on Milk
Choking is a frightening experience for any parent, especially when it involves an infant. Babies can choke on milk or formula due to their developing swallowing skills and the way they latch during feeding. It’s crucial to know how to respond effectively to ensure the safety of your little one.
Recognizing the Signs of Choking
When an infant is choking, they may exhibit several signs, including difficulty breathing, coughing, or a change in skin color, particularly turning blue around the lips. It’s important to differentiate between gagging and choking; gagging is often a normal reflex, while choking indicates a blockage in the airway that requires immediate action.
Immediate Steps to Take
1. Stop Feeding: If you notice your baby choking, the first step is to stop feeding immediately. This prevents further obstruction and allows you to focus on helping the infant.
2. Positioning: Hold your baby in an upright position, providing good head and neck support. This position can help them manage the situation better and may allow gravity to assist in clearing the airway.
3. Gravity Assistance: If the baby is still struggling, gently place them face down on your forearm, with their head lower than their chest. This position can help milk drain out due to gravity.
4. Back Blows: With the baby in this position, use the heel of your hand to deliver five firm back blows between the shoulder blades. This technique can create enough pressure to dislodge the obstruction.
5. Chest Thrusts: If back blows do not resolve the choking, turn the baby over while supporting their head and neck. Place two fingers in the center of their chest, just below the nipple line, and perform five quick chest thrusts.
6. Seek Help: If the infant is still choking after these attempts, call emergency services immediately. It’s vital to get professional help as soon as possible.
Prevention Tips
To minimize the risk of choking during feeding, consider the following precautions:
– Feeding Position: Always feed your baby in an upright position and avoid lying them down while feeding. This helps prevent milk from pooling in the mouth, which can lead to choking.
– Avoid Distractions: Keep feeding times calm and avoid playing with your baby during feeding, as laughter can lead to choking.
– Monitor Flow: If breastfeeding, ensure that the baby has a deep latch to better manage the flow of milk.
Conclusion
Choking on milk can be a distressing situation, but knowing how to respond can make a significant difference. By remaining calm and following these steps, you can help ensure your baby’s safety. Always remember that if you are unsure or if the situation escalates, seeking professional medical assistance is crucial.

What are the 5 steps when helping a choking infant?

To clear the airway of a choking infant younger than age 1:

  • Sit and hold the infant facedown on your forearm.
  • Thump the infant gently but firmly five times on the middle of the back.
  • Turn the infant faceup on your forearm if breathing hasn’t started.
  • Give five gentle but firm chest compressions with your fingers.

What to do when baby aspirated milk?

If your baby has mild aspiration with feeding, your provider may suggest keeping your baby upright during feedings. An upright position may help your baby swallow breast milk or formula more easily. Babies that frequently aspirate their breast milk or formula may need a modified diet with thickened feeds.

What to do if your baby chokes on milk?

If they are still choking, give up to five chest thrusts: turn the baby over so they are facing upwards. Place two fingers in the middle of their chest just below the nipples. Push sharply downwards up to five times. Chest thrusts squeeze the air out of the baby’s lungs and may dislodge the blockage.

What happens if a baby gets milk in the lungs?

Aspiration is when something enters the airway or lungs by accident. It may be food, liquid, or some other material. This can cause serious health problems, such as pneumonia. Aspiration can happen when a child has trouble swallowing normally.

Can aspiration clear up on its own?

When the respiratory system is healthy and strong, pulmonary aspiration often clears up on its own. When the respiratory system is compromised or a digestive disorder causes chronic pulmonary aspiration, a bacterial infection can occur, causing pneumonia.

What to do if baby is choking on liquid?

First Aid

  1. Lay the infant face down, along your forearm. Use your thigh or lap for support. Hold the infant’s chest in your hand and the jaw with your fingers. Point the infant’s head downward, lower than the body.
  2. Give up to 5 quick, forceful blows between the infant’s shoulder blades. Use the palm of your free hand.

Can a baby choke on milk while sleeping?

No. Babies will not choke if they spit up or vomit while sleeping on their backs.

Will my baby be ok after choking?

Your child will likely be fine after the coughing spell. If your child was choking and is now unconscious and no longer breathing, send someone to call 911. Perform CPR right away if you know how. Take your child for medical care after any serious choking episode, especially if there is a lasting cough or wheezing.

How do I know if my baby is ok after choking on liquid?

Call the rescue squad (911) immediately in all cases of choking on a solid object. In general, choking on liquids is temporary and harmless. Call the rescue squad if your child chokes on a liquid and turns blue, becomes limp, or passes out.

How do I know if my baby aspirated milk?

If your child aspirates, they may present with a cough when drinking or eating. Aspiration can cause symptoms including: Coughing when drinking, particularly with thin liquids. Difficulty feeding.

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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