Suck-Swallow-Breathe Dynamics in Breastfed Infants

Journal of Human Lactation : Official Journal of International Lactation Consultant Association
Vanessa S Sakalidis, Donna T Geddes

Abstract

Despite the importance of the suck-swallow-breathe reflex during breastfeeding, a large proportion of our understanding is derived from bottle-feeding studies. Given the differences in the delivery of milk during breast and bottle feeding, it is imperative that a more general view of the suck-swallow-breathe and milk removal process during breastfeeding is available. This systematic review aimed to assess the evidence for the mechanism of milk removal during breastfeeding; evaluate how the term infant coordinates sucking, swallowing, breathing (SSwB) and cardiorespiratory patterns; and how these patterns change with maturation during breastfeeding. A literature search of PubMed and MEDLINE was performed to assess the mechanism of milk removal and patterns of sucking, swallowing, breathing, and cardiorespiratory control during breastfeeding in healthy term infants. Seventeen studies were selected and a narrative synthesis was performed. Nine studies assessing the infant sucking mechanism consistently provided evidence that vacuum is essential to milk removal from the breast. The limited data on swallowing and breathing and cardiorespiratory control showed mixed results. Overall, results highlighted the high variability in breast...Continue Reading

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Citations

Jun 3, 2020·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Alison K VenturaOlga Mireles
May 11, 2018·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Lara CaseyKimberly E Dow
Jun 20, 2020·Maternal & Child Nutrition·Clare MaxwellLorna Porcellato
Jul 1, 2020·Laryngoscope Investigative Otolaryngology·Nikki MillsSeyed Ali Mirjalili
Jan 15, 2021·European Journal of Pediatrics·Viviane Silva CoentroDonna Tracy Geddes
Jan 29, 2021·Clinical Oral Investigations·Cristiane Medianeira SavianBianca Zimmermann Santos
Aug 10, 2021·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Emily WenerSandra Fucile
Nov 6, 2021·Human Nature : an Interdisciplinary Biosocial Perspective·Melvin Konner

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