What can I expect in a feeding evaluation?

Breastfeeding evaluation:

  • A detailed interview and history about the issues you are experiencing

  • Oral motor assessment, in which sucking and oral structures are examined

  • Observation of breastfeeding, with assistance provided for latch and positioning strategies

  • Pre and post weights to estimate transfer of milk

  • Review of home program tailored to you and your baby’s specific needs

  • Discussion of recommended next steps

Bottle feeding evaluation:

  • Detailed interview/history

  • Oral motor assessment

  • Observation of bottle feeding, with potential trial of different feeding tools as deemed necessary

  • Baseline weight

  • Review of home program

  • Discussion of next steps

Evaluation for children transitioning to solids or from tube to oral feeds:

  • Detailed interview/history

  • Prior to your evaluation, it is recommended that you keep track of your child’s intake for 2-3 days, i.e. a food/drink log

  • Observation of a feeding.  Videos can be very helpful for “slow to warm” toddlers, who may not perform as they normally do with a new person observing them.

  • For feeding observation, please prepare and bring (if coming to office) foods that you know your child easily accepts and others that you know he/she refuses or has difficulty managing.

  • Oral motor assessment

  • Trial therapy to assess what approaches your child might best respond to in feeding treatment

  • Review of home program

  • Discussion of recommended next steps

Evaluation pre or post frenotomy:

  • Detailed interview/history

  • Observation of feeding

  • Review of what to expect day of and after procedure

  • If post frenotomy, review of baby or toddler friendly wound management strategies (if applicable)

How long does therapy take?

Some feeding problems are very complex in nature, necessitating follow-ups beyond the first evaluation for the best care.   For infants with weight gain concerns, for example, several follow-ups may be necessary to check whether the plan of care is working well and to update it as needed.   For others, the home program given at the evaluation may be sufficient to resolve feeding difficulties.  Some children may benefit from weekly sessions to make the fastest progress.  We can discuss the best option for you!

How long are therapy sessions?

Evaluations are generally 1.5-2 hours in length.   Treatment sessions are 45 minutes to 1 hour.


304 La Rue France Ste 100 Lafayette, LA 70508

(337) 282-8703

(337) 918-3249 (fax)

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