an inherited disorder of infants, characterized by feeding difficulties, episodes of apnea, ophthalmoparesis, and weakness or fatigue, often improving with age.

A 10-month-old female presented to the hospital with a 4-month history of feeding difficulties and weight loss.

The manual is particularly impressive as the author relates not only to the specific feeding difficulties that children with Down syndrome may encounter such as delayed oro-motor development, seating difficulties, extra time needed for feeding but she also relates to normal feeding issues such as bottle versus breast feeding, the importance of the feeding relationship, teaching children to make food choices, trusting a child's choices.