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Why does my baby gag with a deep latch?

Understanding Gagging with a Deep Latch
Breastfeeding can be a complex experience for both mothers and babies, and one common concern among nursing parents is when their baby gags during feeding, particularly with a deep latch. This phenomenon can be alarming, but understanding the mechanics of breastfeeding can help alleviate worries.
What is a Deep Latch?
A deep latch occurs when a baby takes a significant amount of breast tissue into their mouth, allowing for effective milk transfer and minimizing discomfort for the mother. This is crucial for successful breastfeeding, as a deep latch helps the baby to extract milk efficiently and reduces the risk of nipple pain for the mother.
Why Gagging Happens
Gagging during breastfeeding, especially with a deep latch, can be attributed to several factors:
1. Overactive Reflex: Some babies may have a strong gag reflex, which can be triggered by the depth of the latch. When a baby latches deeply, they may inadvertently stimulate this reflex, leading to gagging.
2. Milk Flow: If the milk flow is particularly fast, a baby may struggle to manage the volume of milk they are receiving. This can cause them to gag as they try to swallow or breathe while feeding.
3. Positioning: The way a baby is positioned during breastfeeding can also impact their ability to latch properly. If a baby is not positioned well, even a deep latch can lead to gagging as they may not be able to coordinate sucking and swallowing effectively.
4. Anatomical Factors: Some babies may have anatomical variations, such as a high palate or a short frenulum, which can affect their ability to latch deeply and manage the flow of milk, leading to gagging.
Managing Gagging
To help reduce the likelihood of gagging during breastfeeding, consider the following strategies:
– Adjust Positioning: Ensure that your baby is positioned correctly at the breast. A good position can help them latch more effectively and manage the flow of milk better.
– Monitor Milk Flow: If you have a strong let-down reflex, try expressing a little milk before latching your baby to reduce the initial flow.
– Be Patient: Gagging can be a normal part of the learning process for both you and your baby. With time and practice, many babies learn to manage their latch and feeding more effectively.
Conclusion
While gagging during breastfeeding can be concerning, it is often a manageable issue. Understanding the reasons behind it and making small adjustments can lead to a more comfortable and successful breastfeeding experience. If concerns persist, consulting with a lactation consultant can provide personalized support and guidance tailored to your situation.

What is Gestalt breastfeeding?

‘gestalt breastfeeding’, which aims to optimise positional stability and intra-oral breast tissue. volumes for pain-free effective breastfeeding. The word gestalt (pronounced ‘ger-shtolt’) means ‘a whole that is more than the sum of its parts.’

How do I fix my baby’s aversion when breastfeeding?

Try feeding your baby in a quiet room with no distractions. Cuddle your baby. Skin-to-skin contact between you and your baby might renew your baby’s interest in breastfeeding. See if your baby will latch on while taking a warm bath together.

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.

How long does breastfeeding aversion last?

The difference between aversion and DMER
As a condition, though, DMER is prompted by your milk ejection reflex — hence the name. As such, it lasts for just a few minutes, unlike aversion, which can last for entire nursing sessions.

Why does my baby keep gagging when feeding?

Gagging is a common response when infants are making the transition from smooth to lumpy foods or when learning to chew. It is best managed by providing graded food textures that support or match the development of oral motor skills.

Why doesn’t my baby like a deep latch?

Your baby may not open their mouth widely enough before latching. ✔ They might slide back onto the nipple after initially latching deeply. ✔ Tension or coordination challenges in your baby’s oral muscles could make it harder for them to initiate or maintain a deep latch.

How to prevent aspiration while breastfeeding?

Elevation of the head of the bed approximately 30° may help, although young infants may slide down the bed during the night. Dietary modifications include thickening feeds for infants; breastfeeding; decreasing volume of feeds (10-20 mL/kg per feeding); and feeding small, frequent meals.

Why does my baby gag while latching?

If your baby chokes, gags, or pushes off of the breast a minute or two after starting to feed, an overactive let-down may be the cause. Fortunately, women with an overactive let-down often have a large milk supply.

How to encourage a deeper latch?

These tips help you get a good latch—and know if you have one.

  1. Tickle your baby’s lips with your nipple. This will help baby open their mouth wide.
  2. Aim your nipple just above your baby’s top lip. Make sure your baby’s chin isn’t tucked into their chest.
  3. Aim your baby’s lower lip away from the base of your nipple.

What is the 3 month breastfeeding crisis?

The third crisis occurs after three months, at this stage the baby has much greater suction strength and will take faster feedings as he is able to empty the breasts with greater speed, that is to say, take more in less time, this period coincides with the development of their hearing and vision, that makes everything …

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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