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Lactation Information and Discussion <[log in to unmask]>
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Thu, 22 Jan 2015 09:55:20 -0500
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Insight and wisdom, please:


Had a postpartum client about 9mos ago.  Baby has PTT was 
treated by a VERY reputable HCP; received follow-up lactation support;
saw a IBCLC, IBCLC picked up torticollis.  Mother took baby
for CS work.  Chiro declared treatment completed.

Mother was never able to go back to bfeeding as the pain was too
great.  Follow-up with HCP who performed frenotomy:  said everything was fine.

Early intervention said there was no torticollis.  

I concurred with the IBCLC, it was very slight, but even I could see it.

Now………baby is exclusively ABMfed (mom went to work,
emotional issues around bfeeding failure, etc.) and UNABLE
TO EAT SOLIDS !

Reached out to IBCLC who said baby needs to be evaluated
by speech pathologist.

I think, not being able to follow up with IBCLC, that it’s all related
to the torticollis.  There’s just something not right with the
shape of this poor child’s head.  Can’t put my finger on it other
than to throw my concerns into the “torticollis basket”

My question:  why would torticollis interfere with solids ?

P.S.  Mom was going to reach out again to DC.

—Kathy




Katherine Koncelik, CPD, CLC
     -------------------------------
Treasurer
Co-Founder
Long Island Doula Assoc., Inc.
A 501.c.3 Not-For-Profit Charitable Corporation
		631.581.1066







> On Jan 22, 2015, at 9:19 AM, Pat Young <[log in to unmask]> wrote:
> 
> My favorite treatment for open wounds is normal saline soaks. 1 Cup water and 1/4 level teaspoon salt. (I tell moms if it stings they used too much salt. Normal saline is same salinity as blood.) 3-4 x/day, can use cloth soaked in saline or actually sit with saline in  a tea cup and immerse nipples.  
> 
> Torticollis has a big variety of treatments suggested.  Search it online.  A  HCP  can show parents the stretching exercises.  Over the years I've found a firm stretch done 3-4 each stretching session for 3-4 x a day gives the best results. Missing dx, Ignoring dx or  inadequate tx of torticollis are some of my pet peeves.  The adult ends up with a tilted sort of face, one eye appears smaller and it is really easy to fix when baby.  My first granddaughter had this and mom was told all sorts of advice about how to lay baby down etc.  When we finally went to specialist she was 8 mo old, hated the exercises and we didn't get great results.  The Dr at Children's said he wished  babies would be sent sooner.  Of course that was over 50 years ago, but I've seen the same thing many times since.   Just like BF, it is easier to fix sooner than later!  Pat in SNJ
> 
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