check

Pre-screening Questions

You're not alone. You're not failing. There is a way through bottle feeding struggles and it's easier than you think. 

 

Answer these 12 free and simple questions to find the answers you've been looking for. 

Start

Question 1 of 16

Do you want your child to take a bottle?

A

Yes

B

No

Question 2 of 16

Is your baby exclusively breastfeeding at least five times daily?

A

Yes

B

No

Question 3 of 16

Do you have any concerns about your child’s ability to breastfeed?

A

Yes

B

No

Question 4 of 16

Is breastfeeding painful?

A

Yes

B

No

Have you ever heard of the backwash effect?

When your baby breastfeeds, a small amount of their saliva is absorbed back into your nipple. This triggers an immune response, prompting your body to produce specific antibodies. These antibodies are then passed back to your baby through your milk to help them fight off infections!

Question 6 of 16

When breastfeeding, does your child FREQUENTLY cough or choke?

 

A

Yes

B

No

Question 7 of 16

Has your child established adequate weight gain (per the pediatrician, midwife, NNP, lactation consultant or another medical provider following your child)

A

Yes

B

No

Question 8 of 16

Do you feel comfortable identifying potential medical problems with your child and seeking medical attention for your child accordingly?

A

Yes

B

No

Question 9 of 16

Is your baby between 8 weeks and 5 months old?

*The answer to this question is 'yes' as long as your baby is under 6 months

A

Yes

B

No

Did you know your baby uses 26 muscles with every swallow?

Breastfeeding requires nearly perfect feeding skills. This is why nearly every breastfed baby can easily bottle feed because they are already perfect eaters. 

 

Question 11 of 16

Does your child open his or her mouth and suck on your finger when you place it near or in his or her mouth? Even one suck counts and you will answer yes below!

 

Be patient, move with your baby, and do not force your finger in his or her mouth. Sucking may happen in as short as 1 second or as long as 2-3 minutes.   If your baby is closer to 4-5 months old, he or she will likely require more time.

A

Yes

B

No

C

Confused? For detailed instructions or to watch a video, copy and paste this URL into a new browser/tab: www.bottlesonpurpose.com/sucking-reflex

Question 12 of 16

Do you have concerns about your child’s development or has anyone expressed concerns about your child’s development?

A

Yes

B

No

Question 13 of 16

Is your child spending at least 20-30 minutes on his or her belly cumulatively daily for tummy time? 

 

*These can be shorter increments added throughout the day and include the time you are holding them on your chest, on their belly in your arms or on your lap, or in other locations where they are on their belly.

A

Yes

B

No

Question 14 of 16

Does your child have significant flattening on the back of his or her head?

A

Yes

B

No

Question 15 of 16

 

I understand that although these screening questions are designed to rule out an underlying feeding issue hindering my baby’s ability to bottle feed, it is impossible to replace an in-person feeding evaluation. I further understand these screening questions and the Bottles on Purpose program do not constitute medical advice and if I have any concerns about my baby, I should seek prompt medical attention. I confirm the information submitted in the pre-screening questions is complete and true to the best of my knowledge. If the answers to the pre-screening questions change at any time, I recognize it is my responsibility to share this information with Peaceful Infant, LLC.

A

I confirm I am a parent or guardian seeking support for my exclusively breastfed baby to take a bottle and I agree to the statement above.

Question 16 of 16

Do you have legal and medical decision making authority to answer these screening questions on behalf of your child?

A

Yes

B

No

Confirm and Submit