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excessive salivation

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we had a newborn who was bringing out froathy saliva.Ruled out TEF.

Had difficulty in initiation of breastfeeding. took 36 hrs to settle down.

My question is when should we investigate these cases?

A detailed history (antenatal, delivery, resuscitation)

Examination findings

Neuroimaging

The point that the baby took time to establish breastfeeding is to be noted. Was it because of mother-baby interaction problem or was it due to poor suck or poor suck-swallow coordination?

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antenatal unevenful.delivery LSCS. resuscitation none.Normal baby hence no neuro imaging.

Initially mother had problem in starting feeding. later resolved persistent efforts.

Probably poor suck swallow combination

Thanks for the opinion

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