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Pediatric Feeding News

Dedicated to up to date pediatric feeding and dysphagia information

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Hi, I'm Krisi Brackett, MS SLP/CCC this blog is dedicated to current information on pediatric feeding and swallowing issues. Email me at feedingnewsletter@gmail.com with questions.

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Dr. Brown’s® Nipple Level Selection Guidelines for the Specialty Feeding System

January 22, 2017 by Krisi Brackett 2 Comments

I saw this posted on Nina Ayd Johanson’s Face book page, www.facebook.com/FoodSmartKids, and wanted to share.   Great info, thanks, Nina!

Dr. Brown’s® Nipple Level Selection Guidelines for the Specialty Feeding System

https://www.drbrownsbaby.com/medical/sfs-clinical-nipple-flow-guidelines/

SFS-Clinical-Nipple-Flow-Guidelines

 

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Filed Under: Oral-motor and Sensory, Product Info Tagged With: bottle, Dr. Brown nipples, feeding therapy, nipple flow rate, nipple selection

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  1. Julie Kouzel says

    January 22, 2017 at 7:07 pm

    Hi Krisi! How do feel about thickening liquids and what nipple would you use if that was the recommendation from the GI or ENT? Do you use this Dr. Brown system? I have an 11 month old who is aspirating, and they have her on a very thickened consistency, which she is not tolerating. I am introducing cup drinking, but it’s not going well.

    Reply
    • Krisi Brackett says

      January 22, 2017 at 9:12 pm

      Hi Julie,

      I am not a big fan of thickening for reflux but I know that it is recommended. We definitely thicken liquids for pharyngeal dysphagia to prevent aspiration. It is not an exact science as viscosity changes depending on base fluid (i.e, condensed formulas will be slightly thicker) and the material used to thicken (powdered rice cereal, oat meal flakes, etc).

      With thickened formula we typically use a faster flow nipple; example would be level 2 or 3 for nectar and level 3 for honey. Some children need a Y cut or variable flow nipple for honey or thicker consistencies. We do use the Dr. Brown system but also use Even flow and other brands depending on the parent’s preference. Sometimes cost is a factor as well. We never cut nipples.

      hope that helps. Krisi

      Reply

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