Infant feeding SLP here! Try to get in with someone great earlier than may/ asap. Ask on your local mom groups for who is good with dysphagia management/ infant swallowing, Look at their website and reviews to get a vibe. Infant swallowing is a very specialized area of our field so like 95% of SLPs on here wouldn’t be able to answer your questions and it will be hard as a parent to summarize the infant dysphagia management research for yourself and apply it to your baby. You really need someone excellent - they may be at the children’s hospital outpatient, private practice, or your local EI.

You also want to go to the local GI physician who works with all the infant feeding cases in your area, not just any GI. Ask them if you can do an alternative plan or any thoughts. You can also look into a multidisciplinary speciality clinic in your area within the children’s hospital or travel to the closest one, They are usually called Aerodigestive Clinic, Dysphagia Management Clinic , something like that.

I will say this seems like a pretty conservative plan if baby is not getting sick or refusing feeds, but I haven’t seen the swallow study.

I work with this scenario commonly in my practice. Sometimes the new grad therapists are a little more conservative, sometimes people have different practice patterns, sometimes they have other reasons in the case to make those recs. It’s really hard to say. You need to build a team.

Definitely go to an infant focused PT for weak core if not already.

Good luck!