It's a terrifying thought: your precious baby choking on the very sustenance you provide. While it might seem counterintuitive, babies can indeed choke on breastmilk. Understanding the reasons and knowing what to do can empower you to handle this situation calmly and effectively.
Why Do Babies Choke on Breastmilk?
The most common culprit behind a baby choking on breast milk is an oversupply of milk. When this happens, the milk can come out too forcefully, overwhelming the baby's ability to swallow. Other factors include:
- Overactive Let-Down: This is when milk is released too quickly at the start of a feed. According to Johns Hopkins Medicine, in this case, the milk sprays from the breast as it is pushed out by hormonal release.
- Inefficient Latch: A poor latch can lead to milk flowing too rapidly.
- Baby's Immature Swallowing Reflexes: Newborns are still developing their coordination between sucking, swallowing, and breathing.
Signs Your Baby Might Be Choking on Breastmilk
It's important to be aware of the signs that your baby might be choking on your breast milk. These include:
- Gagging or coughing forcefully
- Turning blue
- Difficulty breathing
- Weak or absent cry
- Lethargy
What to Do If Your Baby Chokes on Breastmilk
If you suspect your baby is choking, remain calm. Here are the steps shared by the National Childbirth Trust to take:
- Support Your Baby: Hold your baby upright, supporting their head and neck.
- Encourage Coughing: Gently pat their back. This can help dislodge the milk.
- Back Blows: Position the infant face down along your thigh with their head lower than their body. Support their head and neck with one hand. Deliver five firm but gentle slaps between the shoulder blades using the heel of your other hand.
- Chest Thrusts: Carefully turn the infant onto its back, ensuring its head is supported. Place two fingers in the centre of the chest, just below the nipple line. Press down firmly and rapidly up to five times.
- Seek Medical Attention: If the choking persists or your baby turns blue, call emergency services immediately.
Preventing Choking During Breastfeeding
While choking can be scary, there are steps you can take to reduce the risk:
- Express some milk before feeding. This can help regulate the milk flow.
- Feed your baby in a relaxed position. Avoid feeding when your baby is upset or crying.
- Break the latch and start again. If your baby is struggling, gently break the latch and try again after a short pause.
- Consider feeding positions. Some positions, like the laid-back or football hold, can help slow the milk flow.
- Seek help from a lactation consultant. If you're experiencing persistent issues, a lactation consultant can offer guidance and support.
When to Seek Medical Advice
It's always better to be safe than sorry. Contact your paediatrician if:
- Your baby continues to choke frequently
- You're concerned about your milk supply
- You notice other feeding difficulties
Remember, choking on breastmilk is a relatively common occurrence, and in most cases, it can be managed effectively. By understanding the causes and taking preventive measures, you can help ensure a safe and enjoyable breastfeeding experience for both you and your baby.
Disclaimer: This information is not a substitute for professional medical advice. Always consult with a healthcare provider for any concerns about your baby's health.