There are many factors involved in deciding this time and it needs to be discussed with your child s team. They have to learn to coordinate eating, breathing and swallowing at the same time, which is a very difficult task. It takes patience on behalf of the caregiver as well. You may have to try a combination of different bottles and nipples. Our web site has numerous resources and tips regarding feeding issues.
Some children end up with g-tubes because of their difficulty with bottle feedings.
We would encourage to keep using the bottle even if your child has a g-tube. Oral stimulation is very important. Speech therapy may be needed for some children. This service may be available from your local Early Intervention Agency. This agency can review your child s developmental stages also.