PLEASE READ
In light of posts about the fear of aspiration in babies while breastfeeding, please read the following post by Dr Anthony Calibo, certified breastfeeding advocate pedia and DOH National Program Manager for Infant and Young Child Feeding and Integrated Management of Childhood Illness.
"Aspiration pneumonia is more commonly encountered among formula-fed babies, especially with the use of feeding bottles. Milk flow, regardless of nipple design, will not assure the baby he/she will not aspirate the milk.
"As breastmilk is 88-90% water, it has minimal complications should aspiration occur. At best, proper attachment, positioning, and a good mother-infant interaction during each feeding will reduce the incidence of a possible aspiration. Milk proteins of artificial milk formula can cause micro-aspiration even without obvious "choking" (nahihirinan) being observed. These micro-aspirations will get into the airway passages. Your baby may be lucky enough not to develop aspiration pneumonia but eventually, asthma can be an outcome especially with a strong family history."
Rough translation: Ang aspiration pneumonia ay mas madalas na nangyayari sa mga sanggol na umiinom ng formula, lalo na dahil sa pag gamit ng feeding bottles. Ang tuloy tuloy na pag tulo ng gatas, kahit na ano pa man ang design ng nipple ng bote, ay hindi guarantee na hindi magkakaroon ng aspiration.
Dahil ang breastmilk ay gawa sa 88-90% tubig, ito ay nagdudulot ng napakaliit na kumplikasyon kung sakali man na magkaroon ng aspiration. Para maiwasan ang aspiration, siguraduhin ang TAMANG HAKAB, POSISYON, AT INTERAKSYON SA SANGGOL tuwing nagpapasuso. Ang mga protina sa artificial milk formula ay nagdudulot ng micro(maliit)-aspiration kahit pa man hindi nakikitang nahihirinan ang sanggol. Mapupunta ang micro-aspirations na ito sa daluyan ng hangin, o airway passages. Hindi man magkaroon ng aspiration pneumonia ang bata, may posibilidad na magkaroon siya ng asthma lalo na kung may history ang inyong pamilya.
May I also add what Dr Jack Newman, internationally recognized breastfeeding advocate, has said about babies spitting up breastmilk:
"Breastmilk is full of immune factors (not just antibodies, but dozens of others as well that all interact) that protect the baby from invasion by bacteria and other microorganisms (fungi, viruses etc) by lining the baby’s mucous membranes (the linings of the gut, respiratory tract and elsewhere). A baby who spits up has double protection, when the baby drinks the milk and it goes to the stomach and then when he spits it up."
Rough translation: Ang breastmilk ay hitik sa immune factors, o mga bagay na nagpapalakas ng ating immune system, na binabalot ang mucous membranes, sa bituka man o respiratory tract, upang protektahan ang sanggol mula sa mga bacteria at iba pang sakit. Dahil diyan, ang isang sanggol na sumuka o lumungad ay may dobleng proteksyon mula sa pag inom niya ng gatas ng ina na napunta sa kaniyang tiyan at kapag ito ay bumalik sa pag suka o lungad.