In reference to a baby with a poor seal,
Pam asked:
"Someone mentioned submucosal cleft to me off list, and I am wondering 
---
isn't this something the pediatrician would have noticed during an 
exam?   How
common is this and how often is it missed?  I have read on line about  
it, but
it says it is rare.  However, is it one of those things that  
bottlefeeding
mothers would not notice and would go undetected for a long  time?  "

We on Lactnet are keeping company with some pretty fabulous peds, but 
honestly, I have seen so many obvious tongue-ties missed,that I 
sometimes wonder what some docs are looking at. And, I am shocked at 
some of the babies whose crania and faces are so misaligned that I 
cannot imagine how they can suckle anything, yet no notice is ever 
taken. I wonder if facial assymetry has become so common due to the 
frequent truama of medicalized births, that they go completely 
unrecognized. When I have a baby who cannot hold a seal, I always refer 
for CST and it pretty much always works.
Jennifer Tow, IBCLC, CT, USA

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