Pediatric Speech-Language Pathology

Supporting Feeding, Swallowing and Oral Development

At Rooted Family Wellness Centre, our Speech-Language Pathologist (SLP) provides specialized assessment and support for infants and children (ages birth to four) experiencing feeding, swallowing, oral-motor, and tongue tie challenges.

Whether you have concerns about breastfeeding, bottle feeding, picky eating, oral function, or swallowing safety, our SLP works closely with families to understand the whole child and create individualized treatment plans that support healthy development and positive feeding experiences.

Our approach is evidence-informed, collaborative, and family-centered, helping caregivers feel supported every step of the way.

How Can a Speech-Language Pathologist Help?

Our Speech-Language Pathologist can assess and support:

Infant Feeding

• Breastfeeding and chestfeeding challenges
• Bottle feeding difficulties
• Weak or inefficient sucking patterns
• Poor latch or milk transfer concerns
• Feeding endurance and coordination
• Transitioning between feeding methods

Swallowing and Feeding Safety

• Suspected swallowing difficulties (dysphagia)
• Coughing, choking, or gagging during feeds
• Concerns about aspiration
• Feeding difficulties related to medical complexity
• Feeding challenges following hospitalization or NICU stays

Oral-Motor Development

• Oral function and coordination
• Tongue movement and oral restrictions
• Tethered oral tissues (tongue and lip ties)
• Chewing and drinking skill development
• Oral sensory challenges

Infant Feeding & Swallowing Expertise

Our SLP has advanced training and experience in pediatric feeding and swallowing, including assessment and treatment of infants with complex feeding needs.

Comprehensive feeding assessments may include:

• Breastfeeding and bottle-feeding evaluations
• Suck strength and coordination assessment
• Oral-motor examinations
• Feeding observations
• Swallowing and feeding safety screening
• Caregiver education and support

Our SLP also has experience supporting medically complex infants, including those who have required respiratory support, hospitalization, or intensive medical care.

Tongue Ties and Oral Function

Tongue and lip ties can sometimes contribute to feeding challenges, but they are not always the cause of feeding difficulties.

Our Speech-Language Pathologist takes a balanced, evidence-informed approach to assessing tethered oral tissues. Rather than viewing tongue ties as a solution for every feeding concern, we carefully evaluate oral function, feeding skills, and the overall feeding relationship to determine the most appropriate recommendations for each child.

When needed, we collaborate with other healthcare providers to ensure families receive comprehensive care and informed guidance.

What to Expect

Your initial appointment includes a detailed discussion of your concerns, health history, feeding and developmental history, and feeding goals. Initial assessments are available in-clinic or in your home, allowing us to evaluate feeding skills in the setting that best meets your family’s needs. (Should there be something about the catchment area here?) Virtual follow-up appointments may also be available on a case-by-case basis.

Assessment may include observation and evaluation of feeding, oral-motor function, and swallowing skills.

At the end of the appointment, your SLP will discuss findings, answer your questions, and provide individualized recommendations. Together, we will develop a plan that supports your child’s development and your family’s goals.

Recommendations may include:

• Feeding and mealtime strategies
• Individualized home recommendations
• Caregiver coaching and education
• Modifications to feeding equipment, positioning, or routines
• Referrals for additional services when appropriate
• Ongoing therapy and follow-up support

Frequently Asked Questions

Does my baby need a feeding assessment?

A feeding assessment may be helpful if your baby experiences difficulty latching, prolonged feeding times, poor weight gain, coughing or choking during feeds, feeding aversion, or if feeding feels consistently stressful for you or your child.

Do all tongue ties need to be released?

No. Tongue ties are only one factor that may contribute to feeding challenges. A thorough assessment helps determine whether a tongue tie is affecting function and whether treatment or referral is appropriate.

Can a Speech-Language Pathologist help with breastfeeding?

Yes. Speech-language pathologists with advanced feeding training can assess oral function, sucking patterns, coordination, and feeding efficiency to support breastfeeding and bottle feeding success.

Do I need a referral?

No referral is required to book an appointment with our Speech-Language Pathologist. These services are often fully or partially reimbursed by extended health benefits under Speech Therapy. Insurance plans vary in the amounts they cover and the need for a doctor’s referral, so check with your plan for specific details.

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