Causes and preventive measures for infants choking on milk

  What is baby choking
  Especially newborn babies can easily spit up milk, and the most fearful thing about spitting up milk is that when milk flows backwards from the esophagus to the throat, it accidentally enters the trachea at the moment of inhalation, i.e. choking. The infant’s nervous system is just developing and some reflexes are still weak, they cannot cough up the milk that choked into the respiratory tract. As a result, choking often occurs due to mechanical obstruction of the airway by milk. At the same time, the baby’s brain cells are very sensitive to oxygen, if the oxygen supply is stopped for 5 minutes, you can die; choking and suffocation of infants can appear blue face, twitching, irregular breathing, spitting out milk or foam, blood, black water, etc.. The infant’s brain cells are very sensitive to oxygen, and if resuscitation is not timely it is very likely to cause sudden infant death. Therefore, choking on milk is likely to occur the tragedy of sudden infant death.
  Causes of choking in babies
  Infant choking is closely related to vitamin A deficiency, and good results are seen with vitamin A supplementation. Vitamin A plays an important role in maintaining the normal structure and health of the epithelial cell tissue of the skin mucosa.
  When infants are deficient in vitamin A, choking occurs due to atrophy and keratinization of the epithelial cells of the euphragmus located in the upper anterior part of the larynx, resulting in choking during swallowing because the euphragmus does not close sufficiently to cover the trachea. Infants can eat some carrot juice, vegetable soup or appropriate supplementation of cod liver oil and vitamin A pills, etc., can quickly improve choking symptoms.
  1. Wrong way of feeding
  Many babies choke on milk because of the feeding style of the mothers went wrong. If the baby is eating formula, and the bottle opening is too large, the baby sucked into the mouth too much milk, sucking milk too quickly, this time it is easy to cause the baby to choke. In addition, mothers who do not have the right posture when breastfeeding can also cause their babies to choke. When feeding mothers are best to choose a sitting position, do not let the baby lie flat in the lap, the baby’s head must be higher than the lower body, while mothers breastfeeding, it is best to choose a quiet place, so as not to disturb the baby to eat milk.
  2. The baby is not breathing well
  If your baby is not breathing well, it is easy to choke on the milk. So mothers usually pay attention to observe the baby, if the baby has a cold or cough symptoms, must take appropriate measures to avoid the baby choking due to breathing problems. The second aspect is that mothers and fathers like to choose to sleep with their babies and place them in the middle of the bed, and this time mothers must pay attention to air circulation if they breastfeed, and prevent the blanket from pressing the baby, so that the baby can not inhale oxygen and cause choking or respiratory arrest.
  3. The baby is suffering from a disease
  If the baby is weak and has respiratory disease, then the baby is also prone to choking problems.
  Baby choking how to do
  1. slight state: slight spillage, spitting up milk, the baby will adapt their own breathing and swallowing action, will not inhale the trachea, as long as the baby’s breathing condition and skin color can be closely observed.
  If there is a lot of spitting up, first of all, you should quickly turn the baby’s face to the side so that the spit up will not flow backwards into the throat and trachea. Then, wrap a handkerchief around your finger to reach into the mouth and even the throat to quickly clean out the spit-up and overflowing milk food to keep the airway smooth, and then use a small cotton swab to clean out the nostrils.
  2, serious state: if the baby does not breathe or face darkened, that the spit-up may have entered the trachea, make it prone on the adult’s lap or bed, and pat the back four or five times so that it can cough out. If it is still ineffective, immediately clip or pinch to stimulate the sole of the foot, so that the baby cries due to pain and increase breathing, the most important thing at this time is to let him breathe oxygen into the lungs, rather than wasting time thinking about how to take the foreign body out.
  During the above process, the baby should be sent to the hospital for examination at the same time. If the baby is breathing well after choking, it is best to find a way to make him cry harder to observe the oxygen intake and exhalation action when crying to see if there are any abnormalities, such as the voice becomes toned and weak, inspiratory difficulties, severe concave chest, etc., if there should be immediately sent to the hospital. If the baby cries brightly, full of air, rosy face, it means no serious injury.
  Baby choking family members should do
  1, in situ trick: because of severe choking, completely unable to breathe, the baby almost no chance of hospital emergency, parents can only race to rescue immediately;
  2, remove oropharyngeal foreign body: If the mother has an automatic breast pump, immediately start, using only its hose, inserted into the baby’s oral pharynx, the overflow of milk, vomit sucked out; no suction device, the mother can use fingers wrapped in gauze to reach into the baby’s mouth, up to the pharynx, the overflow of milk sucked out, to avoid the baby inhale the spit milk again when inhaling the trachea.
  3.Position drainage: If the baby is full of vomiting and suffocation occurs, the baby should be lying face to the side or lying on its side to avoid spitting milk into the throat and trachea; if the baby is too eager to swallow milk at the beginning of milk choking and suffocation (stomach void), it should be lying prone on the legs of the rescuer, with the upper body leaning forward 45-60 degrees to facilitate the backward emptying and drainage of milk from the trachea.
  4, auxiliary exhalation: the focus is on exhalation, with jet power. The method is that the rescuer with both hands together in the upper abdomen of the child, impact upward squeeze, so that its abdominal pressure increased, with the diaphragm elevation and thoracic reduction of the impact, so that the airway choking milk part of the spray; to be relaxed when the hands, the child can suck back part of the oxygen, repeatedly so that asphyxia relief.
  5, stimulate crying and coughing: forcefully patting the child’s back or grabbing and pinching to stimulate the sole of the foot, so that it feels pain and crying or coughing, which is conducive to coughing out the milk in the trachea to ease breathing.
  In the above home rescue at the same time, call 120 to call for help, or prepare for emergency hospital rescue.
  How to prevent your baby from choking on milk
  1, appropriate timing of feeding: not in the baby crying or laughing when feeding; do not wait until the baby is very hungry to feed, the baby is too eager to eat easy to choke; the child is full can not be forced to feed again, force feeding is prone to accidents.
  3. Control the speed: When the mother is lactating too much milk, use your fingers to lightly press the areola to slow down the flow of milk. The nipple hole for manual breastfeeding should not be too large, and the milk should be in drops rather than in lines when you pour it over.
  2. Correct posture: Breastfeeding babies should lie diagonally in the mother’s arms (upper body at 30-45 degrees), not in bed. The artificial feeding baby should not lie flat when breastfeeding, but should take a sloping position, with the bottom of the bottle higher than the nipple to prevent air inhalation.
  4. Pay attention to observation: the mother’s breast should not block the baby’s nostrils. Be sure to observe the baby’s face and expression while breastfeeding. For babies who have choked and premature babies, you should observe them closely or ask your doctor for guidance on feeding.
  5. Expel gas from the stomach: After feeding, hold the baby upright on your shoulder and pat the baby’s back to help expel gas from the stomach, it is best to hear burping and then put the baby in bed. The head of the bed should be 15 degrees higher, lie on the right side for 30 minutes and then lie flat. Do not let the child sleep on his or her back to avoid sudden infant death.
  So after each feeding, gently pat the baby’s back to make a full burp to effectively prevent spitting up and choking on milk.
  How to do if your baby chokes on his nose
  The baby choking phenomenon is more common, because the baby’s stomach is horizontal, small capacity, connected to the esophagus at the cardia is wide, poor closure, connected to the small intestine at the pylorus is tight, and the baby often inhaled air when eating milk, milk is easy to back up into the mouth, causing choking. The first time a mother sees her baby choking, she may be very worried and overwhelmed. In fact, if you pay attention to the following aspects, you can prevent your baby from choking.
  1, using the appropriate feeding position try to hold the baby feeding, so that the baby’s body is in about 45 degrees of tilt, the milk in the stomach naturally flow into the small intestine, which will reduce the chances of choking than lying down feeding.
  2. You should not let your baby lie on his back immediately after breastfeeding, but lie on his side for a while, and then lie on his back again.
  3.After breastfeeding, make sure to let your baby burp: hold your baby upright and lean on your shoulder, pat your baby’s back, let him burp and discharge the air he inhaled into his stomach while sucking milk, then put your baby to bed, so that it is not easy to choke on milk.
  4, the amount of milk should not be too much, the interval should not be too close.
  After the baby chokes, if there are no other abnormalities, generally do not care, later slowly will be good, will not affect the baby and growth and development. The baby choked milk may be bean curd-like, that is the result of the action of milk and stomach acid, is also normal, do not worry. But if your baby chokes frequently and chokes out yellow-green, coffee-colored liquid, or with fever, diarrhea and other symptoms, you should promptly go to the hospital for examination.