Breastfeeding Problems - Baby Chokes When Feeding


If the infant chokes with breast milk while feeding, it becomes very nervous, screaming, crying. This phenomenon has its name in medicine - “reflex of milk release”, accompanied by discomfort and fear of the newborn. The fact is that he really wants to eat, but the food is too abundant, he is not able to cope with its volume and chokes. This problem can be quickly resolved by following the recommendations described below.

Causes of choking with HB

A nursing woman has too much milk, the baby just does not have time to swallow it. It penetrates the wrong throat, the child chokes and coughs. There may be gagging, if the mother has weak nipples, milk flows out by itself, the baby does not make any effort for this.

Most often, the child chokes when feeding because of uncomfortable posture. He swallows a lot of air with milk. After eating, he begins to regurgitate, hiccup, sometimes even vomiting. All this creates the impression that the baby choked.

The baby chokes when feeding with breast milk when it gets very hungry. In this situation, it is necessary to revise the lactation hours or give the breast “on demand”.

Another cause of choking is breathing problems. For example, nasal congestion or runny nose. These phenomena prevent the baby from eating normally. When swallowing, he tries to breathe, instead he chokes.

In a newborn up to 8 weeks, the swallowing reflex is poorly developed (the colostrum begins to suck, but it cannot swallow it). This goes to 12 weeks.

If you feed the baby with breast milk through a bottle, the choking may be due to an uncomfortable nipple (for example, it has too big a hole).

In rare cases, infants cannot eat normally due to abnormalities in the larynx, esophagus or neurological diseases. If you suspect that the listed pathological conditions need to visit a pediatrician. In this situation, only a medic is able to help.

Actions during choking

  • Squeeze the milk before feeding, if it is too much.
  • Change pose. If the head and mouth are above the nipple, the liquid will not flow as much. Baby can swallow it properly.
  • Feed more often. Milk will be produced in smaller quantities and the baby will cope with its volume.
  • Feed when the newborn is in a half asleep state. It will suck more slowly, which means that colostrum will be produced in a smaller volume.
  • If, with HB, the child begins to choke, lactation should be interrupted. Put it in a post so that he can catch his breath and let the air out.

If none of the tips brought results, the child must be shown to a specialist.

Urgent Care

If the child has started to choke, he needs to provide emergency assistance before asphyxia occurs. Mom needs to calm down and do the following:

  • Suspend lactation.
  • Turn the victim to a vertical position.
  • In this position, the lungs themselves push out excess milk. You need to wait for the child to burp or cough.
  • You can continue feeding.

If the newborn wheezes and suffocates, the actions should be different:

  • Put the victim on his arm with his belly down.
  • Start tapping on the back until regurgitation occurs.

To make these actions in a vertical position is impossible. This will push the milk deeper into the trachea. If the newborn suffocates, you should alternately pat him 5 times on the back and press the solar plexus as many times.

If the child is very choking, then, first of all, you need to call an ambulance. And then proceed to the actions described above.

BezOkov: a problem is better to prevent

In order not to start choking milk, you need to take a comfortable position. Major:

  • Classic. A woman sits and holds a son or daughter in her arms. In doing so, she presses the child with her head slightly raised to her. The infant lies in the cradle.
  • From the armpit. Mom keeps the baby on her side under the second arm, pressing her head to her chest. This position is convenient for twins, when you need to feed both at once.
  • Lying on the side. A woman lies on one side. Near the breast puts the newborn. This posture is very comfortable at night and after cesarean section.

Correct posture helps reduce the risk of choking.

When feeding, it is very important to ensure that the baby’s body is straight, not curved.

How to recognize the reflex of the emission of milk?

The milk release reflex, or the oxytocin reflex, is a sharp rush of milk to the nipple in response to a reduction in the mammary alveoli under the action of the hormone oxytocin.

Oxytocin is also called the hormone of love and affection. The emotional state of the mother influences its production.

Communication with the baby, hugs, kisses and other positive emotions stimulate the release into the blood of this hormone. And as a result - a surge of milk. Sometimes mothers just need to think about their daughter or son with tenderness in order to feel how the breast is filled with milk.

Negative emotions have the opposite effect. Various kinds of stress cause the release of adrenaline - anxiety hormone, which blocks the production of oxytocin. That is why a nursing mother should always be in a good mood and avoid all sorts of shocks.

During the discharge of milk, a woman may feel:

  • breast filling with milk, slight tingling,
  • abdominal pain due to uterine contraction - during the first time after childbirth,
  • milk leakage between feedings,
  • streams of milk beating out of the breast during feeding.

Abundant milk rush gives the child a strong discomfort while eating. This can be seen from his chest behavior:

  • he begins to hastily and noisily swallow, choke, cough,
  • snaps while sucking,
  • delays the breast when feeding,
  • trying to slow down the flow of milk, squeezing nipples.

The main role in the lactation process is prolactin and oxytocin. They begin to be produced by the pituitary gland immediately after delivery, when restraining factors are eliminated - the activity of the placenta on milk production.

Tide milk

The oxytocin reflex is often the cause of choking, especially in the first months of a baby’s life.

The body of the mother during this period had not yet managed to adapt to the child's appetite, so the tides at this time can be the most abundant.

Over time, lactation will improve, the child will become stronger, the appetite better - and the problem will go away by itself.

The child eats greedily

To feed the baby should be at the first signs of hunger, because in this case he will eat quietly, slowly. A hungry baby eagerly pounce on his chest and thereby cause a surge of milk. Trying to quickly satisfy his hunger, he will suck more than he can swallow. In such a situation, there is a high probability of choking or swallowing air. This can cause colic, belching, hiccups.


This term is called excess milk production.

Primary hyperlactation is an increased milk production due to the individual characteristics of the woman’s body or hereditary predisposition.

Mommies encounter it in the first days after birth, as soon as the colostrum is replaced by milk. It comes a lot, the chest is full, it hurts, it may increase in temperature.

At this point, it is important to behave correctly, so as not to aggravate the situation. In maternity hospitals, women suffering from excess milk are usually advised to squeeze. But you need to express the minimum amount of milk, just enough to get relief and not more than three times a day. Otherwise, the body will begin to produce more milk, focusing on the total amount of pumped and drunk baby.

Secondary hyper lactation appears due to improper organization of the feeding process. Permanent pumping after feeding leads to the production of excess milk. Also, hyper lactation can provoke attachment of the child to both mammary glands in one feeding. This problem is easier to prevent than to deal with it. But if it became necessary to reduce lactation, it should be done gradually. An abrupt change in behavior can lead to lactostasis.

When you manage to remove all pumping, lactation will return to normal.

Skimming milk

Squeezing helps to reduce the volume of milk and reduce the pressure of the milk stream. A warm shower will help to steam out the chest and facilitate pumping.

To help the baby, it is enough to express a small amount of anterior, more liquid milk before feeding it.

The next batch is fatter and will not form such a strong jet.

This method can be resorted to even during feeding: if the baby begins to choke, you can take the breast and express some milk. Scarce will have time to catch his breath a little and rest after hard work. And when the tide is over, will be able to continue the meal.

Posture change

Often, children are drowned in milk simply because they eat on their backs.

In this position, the probability of choking is great.

To ensure his comfort, you should choose another position.

And it is possible to reduce the pressure of the milk jet, by invoking the force of gravity to help and placing the child in such a way that it is higher than the nipple. In this case, the milk will pour up, and the speed of the jet will slow down.

There are several postures that will help achieve this result:

  • Normal, when the mother sits and holds the baby in her arms, folded cradle, but leans back on the pillow.
  • When the child himself is at hand at mom, like a soccer ball, and mom leans back on the pillow.
  • When the child is at hand, but slightly raised and as if sitting in front of the chest.
  • Feeding lying down You can lie on your side or try to lie down on your back, putting the baby on yourself. The smallest babies who do not know how to hold their heads need to be supported in this position by the forehead. The position on the back should not be abused, otherwise it can lead to blockage of blood vessels.

Frequent feeding

If you put your baby to the breast more often - in the intervals between feedings less milk will accumulate, and it will be much easier to cope with it.

Feeding on demand is a great way to protect your baby from starvation.

In addition, this type of food helps him to feel more relaxed and confident.

Lactation can be reduced by applying a baby to each breast twice in a row.

Feeding baby half asleep

In a sleepy, relaxed state, the baby sucks the breast not as actively and aggressively as usual. Breast receives less stimulation - and not much milk is produced. When the baby is awake, he should eat in a calm atmosphere. External stimuli distract and irritate the baby and interfere with proper feeding.

Put the child "column"

If the child choked, coughed while eating, you can help him by holding the bar for several minutes. There is no need to use the common way to “knock on the back”, it not only does nothing to help, but can make it even worse. The vertical position will allow the child to catch his breath and free the stomach from the air, which the child swallows in large quantities when in a hurry. It is better to raise it this way several times for feeding as soon as the crumb coughs or stops to take a break.

When to go to the doctor?

Frequent and abundant regurgitation is not always caused by haste during meals and the ingestion of air.

They may indicate the occurrence of various diseases, so they are also a good reason for visiting a pediatrician.

With proper organization, breastfeeding will bring great benefits to both the newborn and his mother. Both the medical staff of the hospital and breastfeeding counselors can assist the young mother in establishing lactation. And if you follow the advice of these people, listen to your well-being and follow the behavior of the baby - you can cope with any difficulties breastfeeding.

The causes are removable.

When the baby is choked during feeding, the mother is obliged to immediately determine the cause and eliminate it. Even weak nipples will not exude milk so abundantly if they are properly supported with their hands when sucking. A large influx of fluid can be slowed down by rubbing a piece of ice before feeding the nipple.

When lactating excessively, it is better not to give the breast to the baby immediately. First, it is recommended to strain 30-40 ml of milk into a bottle. After decanting the baby will be easier to suck her mother's breast.

Most often, children choke with a horizontal body position during a meal.

It is better for nursing mom to give up the prone position and move to a sitting or standing position. When the baby learns to sit, it will be easier to feed him.

The first months after birth are allowed not to adhere to strict diet, giving the baby a chest on demand. This will not adversely affect lactation, as some mothers assume, but the newborn will be more full, calm and will not greedily swallow milk.

Even with the elimination of all these reasons, sometimes the child continues to choke while eating. It means that it is difficult for him to breathe because of the blocked nose. In such a situation, the liquid is able to go, as they say, "not at that throat," scoring tracheas. Therefore, mother should regularly clean the baby's nose.

Moderate lactation

When the newborn is constantly crushed by breast milk, the mother will have to luggle a little lactation, after spending a couple of simple actions. To begin with, it is recommended that several feedings in a row be given only one breast at the request of the infant.

This will stop the abundant milk flow not only to this breast, but also to the second one, since it will already be overfilled. It is better to change breasts every 6-8 hours for several days in a row.

The baby chokes while feeding

Parents may be asked why the crumb is constantly choking. If the baby chokes while breastfeeding, it may be the fault of excess lactation. If there is too much milk, it gets into the infant’s mouth in a strong stream, from which it can choke. A good way to prevent this unpleasant phenomenon is to express some milk before feeding. After this procedure, the pressure will decrease, and feeding the baby will become easier.

The second way: to change the position and position of the child during feeding. This may be, for example, standing posture, in which both mother and baby will be in an upright position. You can also try to lean back in the chair, putting the baby on top.

The problem with breastfeeding occurs if babies suck too quickly and greedily. When the child is choking from haste, you can try to increase the number of feedings or make a short pause after the start of a meal, and then continue at a quiet pace. If the baby is choked with milk, do not make sudden movements or shocks. It is necessary to interrupt feeding and let the child cough, in most cases it is enough.

It is wrong when the baby is lying horizontally when breastfeeding. It is best to place it during the feeding half-sided and slightly raise the head.

If the baby cannot get rid of the excess milk on its own, then you need to tilt the baby forward and, holding his belly, pat him on the back. In the vertical position of such manipulations can not be done.

When feeding from a bottle, there is also a danger that a newborn baby may choke. To avoid trouble, you need to check the size of the hole in the nipple: it should not be too large.

Important: coughing and crying is a natural defensive reaction when choking. This suggests that the airways of the baby are free and there is no cause for concern. Parents need only calm the crumb. When the problem is really serious, the child will not be able to make sounds and cough.

The child choked and suffocated

Signs on which parents can reveal a serious situation that requires urgent intervention, determine that the crumb begins to choke:

  1. Wide open, scared eyes.
  2. The voices are not heard at all or it is barely visible.
  3. The child opens his mouth wide.
  4. Blue skin.

All this speaks of the overlap of the respiratory tract with a foreign object, which prevents air from entering freely into the lungs. It is necessary not only to call an ambulance, but also to try to help the baby yourself.

If an infant swallows with liquid or saliva, it is necessary to lay it on its back so that the head is lower than the body. The middle and index fingers need to do five presses under the brisket of the child. Then turn the baby back towards you and, putting his arm around him, press it onto the stomach area. These manipulations must be repeated before the arrival of the doctors, alternating with each other.

If the baby choked with a hard foreign object, it should be laid on the hand face down, making sure that the head was below the chest. Then the second hand must be patted between the shoulder blades of a child. Another way: take the baby's legs upside down and pat between the shoulder blades. All manipulations carried out: clapping and pressing should be done lightly, but sharply.

Вышеперечисленные способы актуальны в ситуации, когда ребенок подавился и задыхается. В крайнем случае, когда малыш перестал дышать, нужно обязательно делать искусственное дыхание вплоть до прибытия медицинской помощи.

Даже если попытки протолкнуть инородное тело увенчались успехом, необходимо проверить в поликлинике внутренние органы малыша на предмет травм. You should not try to get a foreign object with your hands or tweezers, because in this way you can push it even further, aggravating the situation.

To prevent foreign objects from getting into the child’s mouth, you should carefully check his toys: are there any easily detached parts with which to choke, crawling threads, hairs in soft animals.

From birth, it is worthwhile to teach the crumb to not pull everything into the mouth, and also to suggest that self-indulgence while eating is an unacceptable thing. It is better not to try to entertain or mock the baby when he takes food. The offered food should be thoroughly chopped, the fruit should be freed from seeds, the fish - from the bones.

The main enemy of a parent in a dangerous situation is panic. Even if a mom or dad knows what to do, if an infant chokes, panic and fussiness can spoil everything. Let the ambulance number be in a conspicuous place so that, if necessary, it would not take long to search for it. You can, by pressing the speakerphone button, follow the instructions of the health worker. You can try to help your child yourself - just do not stay idle, yielding to emotions. After all, when a small child choked, first aid should come from people nearby.

Why is this happening

There may be several reasons why a child chokes while feeding. Basically, they are all easily removable or caused by the process of attunement of the mother and child’s body and pass by themselves.

  1. Hyperlactation. In the first months, when lactation is getting better, the maternal organism adapts to the needs of the baby, and the mother produces quite a lot of milk. Sometimes even too much! And when feeding, it rushes into the mouth of the child under strong pressure, which is why it begins to choke - it simply does not have time to swallow all the milk that enters his mouth at such a speed.
  2. Strong oxytocin reflex. The problem rarely darkens the joys of breastfeeding. It manifests itself in the fact that milk on the tide flows out of the breast by itself, without significant efforts on the part of the child. Therefore, he can not, as in other cases, stop his flow, ceasing to suck. And then the milk in the mouth again turns out to be too much - the baby chokes, chokes, coughs. To solve the problem, it is recommended to take the breast for a few seconds so that the fountain of milk has dried up, and then reapply the baby.
  3. It’s just awkward to eat. When breastfeeding position plays a big role. If a child turns his head in the direction of the breast or bends it down, there is nothing strange in the fact that he is choking, coughing and choking. After all, swallowing in this position is extremely uncomfortable. If, however, add more and wrong attachment, the problems multiply, adding to the concern of the mother and the discomfort of the baby. It is almost impossible to provide the child with the correct nipple grip in this position. The little one swallows a large amount of excess air with milk, as a result of which he suffers from colic, he spits up abundantly, hiccups, sometimes even vomiting occurs.
  4. Poorly developed swallowing reflex. This problem occurs in some babies in the first few weeks of life. They simply have not yet learned how to swallow properly, and therefore they choke with milk when feeding in any position and fullness of the breast. Even if quite a bit of milk gets into the mouth, the baby cannot cope with it, does not swallow it to the end and chokes. This problem goes away completely by three months, before this time it is necessary to be careful when feeding and make sure that the crumb does not get a full mouth of food - perhaps, from time to time, interrupt feeding and take the breast so that he can swallow everything. It is advisable to be observed by a neurologist. An appeal to an osteopath may also be helpful.
  5. The child is very hungry. As a rule, this happens when feeding by the hour, and not on demand. As a result, a hungry baby sucks greedily and quickly, not having time to swallow everything. In addition, the breast for a long break is more filled, which also increases the flow of milk at the beginning of feeding.
  6. Not breathing nose. Normal SARS or allergies can greatly complicate the crumbs attempts to eat. A stuffy nose prevents you from breathing freely, you have to breathe through your mouth, and the baby begins to choke on milk as it tries to breathe in and swallow at the same time. Try to humidify the air in the room where the child is. It is better to feed in such positions in which the baby’s head is taller than the body: half vertically in a sling, on a wedge-shaped pillow. It is possible to form an ordinary pillow like a wedge-shaped one, and place the baby on it so that it lies on an inclined surface.
  7. Bottle feeding in cases where the baby has to be supplemented with expressed milk or formula. There are reasons why a baby chokes, maybe a few - too big a hole, a torn nipple, etc. In this case, you need to take care of the correct choice of the nipples or consider other ways of supplementing: from a syringe without a needle or using the supplement system at the breast.
  8. Problems of a physiological nature (with larynx, esophagus or neurological diseases). They are extremely rare and are solved only under the supervision of a physician. As a rule, this becomes clear in the first weeks of the baby’s life, since feeding is very difficult and special measures are needed so that the child can get enough nutrition.

By the way, it is important for mother to know that coughing and crying is a normal protective reaction of the body when a newborn is choking. They give her to understand that the airways are free and there is no danger. You just need to calm the baby and continue feeding. If the child is seriously choked and does not breathe, he will not be able to cry and scream.

How to prevent it

If the baby chokes while feeding, the search for a solution depends on the cause. Usually it is easy to define yourself. Most often this is due to uncomfortable posture. Therefore, you need to find the right position in order to eat the child was comfortable. It is very important to ensure that he does not lie on his back, turning only his head to his chest, because so much more difficult to swallow.

It is necessary to pay special attention to the position of the baby’s head, in whatever position the mother feeds her. It is important that the baby be turned with his whole body to his mother, and his face and belly. When a baby has to turn its head to its chest, it becomes uncomfortable to swallow. In addition, during feeding, the baby's head should be slightly thrown back - about the same as we lift the head when drinking from a cup. In this position, you can quickly swallow the milk.

With the right attachment and correct position in the chest, the baby’s chin is pressed close to the chest, and the nose is at some distance from the chest.

Correctly chosen posture also helps to cope with a high milk pressure - when the mother is sitting and the baby is lying on it, the milk flows a little weaker, and it is easier for the child to cope with it. And if it does not cope, all the excess will simply flow down to my mother. It is unpleasant, but there are no problems with choking. To feed in this position, it is better for a nursing woman to sit on a sofa or in a chair. Help the baby grab the chest, and then sit back on the couch so that the baby is above the chest.

Also, so that the baby does not have to choke with milk due to the strong pressure in the breast, it is possible to express some milk into the sink or diaper before feeding to reduce its pressure. It is advisable to do this not with a breast pump, but with your hands. But most often you can do without decanting: just take the baby away from the breast for a few seconds, wait until the milk stops sprinkling itself out of the breast, and then continue feeding.

In the event that the mother came to the conclusion that the baby was choking from hunger, it is worth reviewing the schedule, abandoning the regime and feeding it on demand. Such an approach is initially correct, the child eats up, he has enough milk, the emotional connection between him and his mother is strengthened. If the mother is not ready to feed on demand, it is possible to arrange feeding around dreams, that is, to feed the baby immediately after each sleep, before each sleep and several times at night. Thus, feeding will become more frequent, but some system will remain. The baby will be less hasty at the beginning of feeding, and less milk will accumulate in the breast, and hence the pressure will be less strong.

If a nursing mother has an excess of milk, hyperlactation, you need to try to find the reason for this and eliminate it. Quite often, hyperlactation is caused by regular expressions after feeding - the breast receives excessive stimulation, and milk is produced much more than the baby needs. It is best not to even begin to express after feeding, but for those who have already done this, it is impossible to stop draining too sharply, as breast filling or lactostasis can happen. Decantation should be reduced gradually, and it is best to draw up a program to reduce expression, in conjunction with a breastfeeding consultant.

First aid to infants if he choked

What to do if an infant suddenly suffocated with milk? The main thing - do not forget the basic rule - do not panic. Panic will prevent sober assessment of the situation and assist the child. It is necessary to immediately interrupt the process and raise the child vertically. This is usually enough for him to cough, and then continue to feed him. If this does not help, and the baby continues to cough, you can turn him back, put his belly on his hand and pat him on the back.

Important! Do not slap the back of a child while it is upright. This may provoke the promotion of milk through the trachea not outward, but deep down, and worsen the situation.

Signs that the child is seriously choking and he needs emergency care:

  • wide open eyes
  • inaudible voice, no scream,
  • wide open mouth
  • blue skin.

If the child is choked with breast milk or saliva, and the mother observes such signs, he should immediately call an ambulance. Then the child must be put on the back so that the head is below the level of the body. Then with the middle and index finger you need to press five times under the chest bone of the baby. After that, they turn his back to him, hug him with a hand and press it in the abdomen. All this is repeated continuously until the arrival of the ambulance. If necessary, you can begin to do artificial respiration.

All the kids sometimes choke with milk. And panic is the last thing that can help mother and child. As a rule, such problems disappear quickly, one has only to get used to each other and arrange feeding.

The article was prepared with the participation of the breastfeeding adviser Irina Shapovalov.

Reasons and recommendations

For convenience, I decided to list to you all sorts of reasons why a child chokes with milk and immediately give recommendations on how to eliminate these causes.

During feeding the child is distracting. For certain, you yourself sometimes choked, when during the meal you were told some important information, turned on loud music. Sharply entered the room. The same thing can happen to the baby. If, in addition to the mother, someone else is in the room, he also speaks loudly to everything else and tries to wink at the baby, then nothing good will come of it. Firstly, the child will constantly break away from the breast, and secondly, it may choke.

If you have had such cases, then during feeding you should retire in a separate room with the baby and not use any gadgets and other equipment until the baby eats. If there is no opportunity to retire, then explain to relatives that it is not necessary to distract the child while he is eating.

Baby too quickly enough milk. It turns out it is usually due to the fact that he is hungry and trying to quickly eat. In this case, besides the fact that the child chokes, he also picks up the air and then belches, hiccups and colic.

If you have this particular case, then perhaps you should reconsider the schedule on which you feed the baby or start feeding at all on demand.

The baby has a spout. Perhaps it is hard for him to breathe through his nose and he is trying to do it with his mouth and at the same time eat. Naturally, he is not good at it and he begins to choke and choke. The cause of this phenomenon can be as cold catarrh, and physiological. "Physiological rhinitis in infants."

In this case, you need to rinse the baby’s spout with a solution of sea water or any other means that your pediatrician has prescribed before feeding. You also need to pull mucus from the nose with a special tube. In case of physiological rhinitis, it is not recommended to pull out mucus by yourself, but if the child cannot eat properly because of this, then he will have to do it.

Mother has too much milk and it is already flowing stream. The child simply does not have time to swallow everything and begins to choke.

In such cases, we can recommend to express some milk before feeding, and then just start feeding.

You can try to feed the child with only one breast, and the second to express. Thus, you will achieve that gradually the amount of milk produced decreases and the child stops stifling.

Mother has “weak nipples”. In this case, the milk is allocated a normal amount, but it does not linger in the breast, but simply flows. The baby does nothing to let the milk flow and choke, because the flow does not stop.

In this case, you can slightly restrain the flow of milk with your hand by pressing on the breast. In principle, no one bothers you to pour milk into a bottle and try to feed from it.

The baby sucks milk, and has not yet fully learned to swallow. This happens in very young in the first month of life.

There is nothing to do here, the child adapts to the environment and starts to swallow the milk normally.

If you are breastfeeding, not with a bottle, then try to change suck. That it may be the reason why your baby can not eat normally.

Inconvenient or improperly selected posture for feeding.

Experiment, try to feed the child at a 45-degree angle to the horizon. You do not need to lay it vertically.

If you have tried everything that I wrote in this article and could not identify the reason why your baby is choking with milk during feeding, then consult a doctor. The problem may go much deeper, there may be problems with the esophagus or other digestive organs. However, this is extremely rare.

What to do if the baby choked

  1. If the child choked, then do not continue to feed him.
  2. Also, it is not necessary that he continue to lie on your back, urgently raise the child.
  3. If you lift the baby upright, and he continues to cough, then try to turn him backwards, take the tummy with one hand, and pat the other lightly on the back.

Everything, dear friends, in this article I described to you in detail all the reasons for which the child chokes while eating. I hope that you take all the information into account and this will happen very rarely.