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Typical feeding dev (1) - Coggle Diagram

- - - - Adaptive: facilitate getting food into mouth, into stomach
      - Protective: prevent foreign material from entering airway
      - Swallowing reflex is both.
    - - Rooting reflex=touch to cheek or mouth --> head turn towards source of stimulus. Before 0;4. Needs to be calmed if crying, cannot assess when baby is too drowsy also. Purpose: for baby to find food, survival. Won't have this reflex if baby is not hungry
      - Sucking/suckling: suckling before sucking. Suckling: Forward-backward mvm of tongue. Sucking dev around 6m. Up down mvm of tongue. Purpose: draw liquid out of breast/bottle. Both positive andd negative pressure needed. BUT lit found that -ve pressures are more impt
    - - Refer to tables
      - Impt for breastfeeding Ax, infants can sometimes use NN sucking to stimulate let-down reflex so may see a combination but should be nutritive > NN
  - - - TBI (falls, MVA)
      - Stroke, brain tumour, encephalopathies
      - Chiari malformation- can compress CN
      - Congenital brain injury: occurs before or during birth
      - Congenital abnormalities/genetic conditions: Moebius syndrome (CNVII palsy)
  - - - Cradle hold. Common feeding position, use arm to provide support for body (lots of postural support). Promotes parent-child interaction. Can see baby. Comfortable for feeder-bottle beeding, can put pillow under
      - Elevated cradle hold- slightly more upright position. Note elbow propped w towels, useful to support parent-child interaction. May be useful for chn that need upright positioning (reflux, cleft palate): liquid flows downwards bcos of gravity, flows more slowly to coordinate swallow
      - En face positioning: can help where feeder needs free hands, supports parent-child interaction. can vary degree of elevation.
      - Sidelying position. Supports reduced flow rate (eg. premature infants, infants w respiratory difficulties), head, trunk, hips should all be aligned (need to use foot stool if too short). May be easier in swaddled position. Feeder should be able to see infant's face