I’m so grateful for my IBCLC colleagues and refer to them often for their extensive knowledge and support of milk production, expression, and breast/bottle feeding. As a speech-language pathologist my approach differs as I am trained extensively in the intricacies of infant sucking and swallowing. I apply evidence-based techniques including neuromuscular re-education and oral sensory-motor therapy to re-pattern the feeding and swallowing mechanisms that may be impeding optimal feeding. During my evaluation I assess symptoms and function to identify your baby’s underlying cause(s) of feeding difficulties. My comprehensive evaluation includes a structural oral exam, functional feeding assessment, oral reflex exam, and non-nutritive muscular assessment. In addition, I screen for other physical and sensory issues that may impact feeding and make appropriate referrals when necessary.