Is your baby’s mealtime routine more challenging than joyful? While every child grows at their own pace, certain struggles could signal the need for feeding therapy. How can you tell what’s typical and what’s not? This guide highlights what to watch for and when to seek help. Could therapy be the missing piece for your baby’s feeding journey? Let’s explore.
Contact a feeding therapist Brooklyn for expert guidance today.
What are the signs your baby may need feeding therapy?
Identifying whether your baby needs feeding therapy can be challenging, especially when some issues may seem like typical development. Certain consistent patterns or signs may indicate the need for a deeper evaluation.
Indicators Related to Developmental Milestones
- Transitioning to purees: Not transitioning to purees by 10 months.
- Acceptance of solid foods: Difficulty accepting table foods by 12 months.
- Use of a cup: Not transitioning to a cup by 16 months.
- Reliance on baby food: Exclusive reliance on baby food at 16 months.
Behavioral Signs During Meals
- Stress or discomfort: Crying, arching the back, or significant resistance during meals.
- Family mealtime conflicts: Constant stress or conflict during meals.
- Caregiver concerns: Frequent reports from caregivers about the baby being difficult to feed.
If you notice one or more of these signs, consider consulting a pediatric feeding specialist. They can evaluate your baby’s chewing skills, coordination, and behavior and offer personalized strategies to improve feeding experiences.
Difficulty Latching or Sucking During Breastfeeding
Breastfeeding can be challenging when a baby has difficulty latching or sucking effectively. Recognizing the signs early ensures proper feeding and healthy development.
Baby-related signs:
- Does not wake spontaneously to feed.
- Latches and releases repeatedly from the breast.
- Falls asleep after a few minutes of sucking.
- Sucks for over 45 minutes without showing satisfaction.
- Has fewer than three bowel movements per day after the first week of life.
- Wets fewer than six diapers daily after the first week.
- Displays green or frothy stools.
- Shows excessive gas.
Mother-related signs:
- Persistent pain or bruising on nipples.
- Breasts do not feel softer after breastfeeding.
- Recurrent blocked ducts or mastitis.
If these issues persist or affect the baby’s well-being, consult a healthcare provider or a certified lactation consultant (IBCLC). These professionals can assess the underlying causes, recommend appropriate treatments, and support a positive breastfeeding experience.
Signs of Discomfort or Pain While Eating
Recognizing discomfort or pain while your baby eats is essential to identifying potential issues and finding timely solutions. Although breastfeeding is a natural process, challenges can arise that affect both mother and baby.
Pain During Breastfeeding
Mild sensitivity during the first minute of latching is normal in the early weeks. Persistent, intense, or recurrent pain after initial improvement can signal a problem. Addressing these concerns promptly can prevent negative effects on the breastfeeding experience and milk production.
Warning signs during breastfeeding:
- Constant hunger: The baby appears unsatisfied after most feedings.
- Skipping feedings: A newborn who regularly skips feedings needs to be woken for meals every few hours.
- Inadequate milk intake: Lack of frequent swallowing sounds during feeding may indicate insufficient milk intake.
Breast health issues:
- Severe engorgement: Hard and painful breasts can make latching difficult and reduce milk supply.
- Cracked or sore nipples: Indicate a poor latch that needs professional attention.
If you have concerns, seek personalized guidance from a lactation consultant or healthcare provider to address the challenges and enjoy the benefits of breastfeeding fully.
Slow Weight Gain or Feeding Struggles
Slow or insufficient weight gain in a baby may indicate feeding issues that require attention. Identifying causes and taking corrective steps ensures healthy growth and development.
A baby’s weight reflects their overall health. Not all slow weight gain is problematic, but distinguishing between natural growth patterns and underlying issues is crucial:
| Natural Growth | Weight Gain Problems |
| Gradual weight gain with steady progress in length and head circumference. | Fails to regain birth weight within 10-14 days. |
| Maintains a consistent growth curve. | Gains less than 1 ounce per day up to 3 months or less than 0.7 ounces per day between 3-6 months. |
| Breastfeeds 8-12 times in 24 hours. | Significant drops in weight, length, or head circumference. |
| Regularly wets and soils diapers. | Fewer wet and soiled diapers daily. |
If your baby’s growth pattern doesn’t meet these benchmarks, consult a healthcare provider for a detailed evaluation.
With appropriate interventions, most issues can be resolved while continuing breastfeeding. Collaboration with healthcare professionals ensures the necessary support for both you and your baby.
Gagging, Choking, or Coughing During Meals
Gagging, choking, or coughing during meals may indicate gastroesophageal reflux or other feeding difficulties. Addressing these challenges is vital for your baby’s safety and comfort.
What Is Gastroesophageal Reflux?
Reflux occurs when stomach contents flow back into the esophagus due to a weak lower esophageal sphincter. While common in infants and usually resolving by the first year, it can cause significant discomfort and impact feeding in some cases.
Common reflux symptoms:
- Frequent regurgitation after feeding.
- Vomit stains around the mouth or on bedding.
- Crying or irritability during feedings.
- Coughing, hiccupping, or difficulty breathing.
- Poor weight gain.
Episodes of gagging, choking, or coughing during meals can be distressing. With proper evaluation and strategies, these difficulties can be managed to improve feeding experiences. Always consult a healthcare professional for personalized advice and to ensure your baby’s comfort.
When to Seek Professional Help for Feeding Concerns
Knowing when to seek help for feeding challenges is key to promoting healthy development and a positive relationship with food. Feeding therapy addresses specific issues such as chewing problems or food aversions, equipping parents with tools to create a supportive mealtime environment.
Feeding therapy focuses on helping babies enjoy meals and feed effectively. Professionals can guide parents in gradually introducing a variety of nutritious foods. These strategies make meals less stressful and more productive for both parents and children.
Seek professional assistance if your baby experiences persistent breastfeeding pain, inadequate weight gain, or severe food aversions. Consulting a lactation specialist or pediatrician can provide expert guidance and practical solutions. For more complex feeding challenges, a feeding therapy evaluation may address your baby’s unique needs and strengthen their relationship with food.
Sources:
- Dodrill, P. (2015). Treatment of feeding and swallowing difficulties in infants and children. Dysphagia: Clinical management in adults and children, 325-350.