Supporting Oral Feeding Skills Through Bottle Selection Infants who have feeding difficulties often struggle with coordinating sucking, swallowing, and breathing, and have difficulty eating sufficient quantities for adequate growth. Speech-language pathologists (SLPs) need advanced expertise across a number of areas (e.g., development, medical, swallowing) to work effectively with these young infants, and they use a variety of ... Article
Article  |   April 01, 2015
Supporting Oral Feeding Skills Through Bottle Selection
Author Affiliations & Notes
  • Erin Ross
    Department of Pediatrics, University of Colorado Denver, Denver, CO
    Physical Medicine and NICU, HealthONE-Rose Medical Center, Denver, CO
    Department of Pediatrics, Rocky Mountain University of Health Professions, Provo, Utah
  • Lauren Fuhrman
    Physical Medicine and NICU, HealthONE-Rose Medical Center, Denver, CO
  • Financial Disclosure: Erin Ross is clinical instructor at The University of Colorado Denver, speech pathologist at HealthONE Denver, and faculty at Rocky Mountain University of Health Professions. Lauren Fuhrman is a speech pathologist at HealthONE Denver.
    Financial Disclosure: Erin Ross is clinical instructor at The University of Colorado Denver, speech pathologist at HealthONE Denver, and faculty at Rocky Mountain University of Health Professions. Lauren Fuhrman is a speech pathologist at HealthONE Denver.×
  • Nonfinancial Disclosure: Erin Ross has previously published in the subject area. Lauren Fuhrman has no nonfinancial interest related to the content of this article.
    Nonfinancial Disclosure: Erin Ross has previously published in the subject area. Lauren Fuhrman has no nonfinancial interest related to the content of this article.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Healthcare Settings / Articles
Article   |   April 01, 2015
Supporting Oral Feeding Skills Through Bottle Selection
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 2015, Vol. 24, 50-57. doi:10.1044/sasd24.2.50
History: Received December 4, 2014 , Revised March 16, 2015 , Accepted March 16, 2015
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 2015, Vol. 24, 50-57. doi:10.1044/sasd24.2.50
History: Received December 4, 2014; Revised March 16, 2015; Accepted March 16, 2015

Infants who have feeding difficulties often struggle with coordinating sucking, swallowing, and breathing, and have difficulty eating sufficient quantities for adequate growth. Speech-language pathologists (SLPs) need advanced expertise across a number of areas (e.g., development, medical, swallowing) to work effectively with these young infants, and they use a variety of strategies when treating this population. Therapists working with infants who have feeding difficulties use bottles as a primary therapy tool; how the infant tolerates the flow rate from the bottle/nipple is a major consideration. Caregivers must understand the influence of bottle/nipple flow rates on eating skills, so they can support the emerging oral skill development for these fragile infants, and help parents decide what bottle system to use in their home. Both infant and equipment factors influence bottle/nipple flow rates. This article discusses the influencing factors that need to be considered when determining the optimal flow rate for an individual infant.

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