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Lactation Information and Discussion

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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 1 Jul 2007 11:58:33 -0400
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If I had a dollar for every baby who some doctor (even an ENT) said was 
not tongue tied who really was, I would not have to work.

Is there someone particularly knowledgeable in this area that you could 
send her to for a second opinion?

If the baby does have a subtle tongue tie, giving the baby more control 
of the latch, and denting a bit of breast at the margin of the areola 
with a fingertip and putting the chin there can help. Mom should place 
baby's chin in the  "dent" and bring his philtrum to her nipple and WAIT 
until baby lunges for the breast. At this time the tongue will be as far 
down and out as baby can get it. Then she snuggles baby straight toward 
her heart as he grasps the breast, to help him get a tiny bit more in 
his mouth.

Sometimes a nipple shield helps as well, if baby just cannot stay 
attached because his tongue pulls down when he tries to get milk out, 
because the shield generally forces baby to change his suck mechanics.
Catherine Watson Genna, IBCLC  NYC

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