This was exactly what I thought wen I read your post, Cindy.
The weight gain and the non-pinching when the nipples shield was used,
also, the baby not pinching the nipple when the mother was feeding lying
down, almost over the baby rang a bell (  the flow would be so high at that
time that the baby wouldn't even cope with pinching the nipple then and
therefore spluttering etc.).

I hope that this mom will try Jean's suggestions and that they will work
for her.

Jean, I love your way with words....(but you already knew that) !
Enjoyed your post thoroughly ( and also the article you sent me before the
holidays, it makes sense and I will definitely use it ).

Happy New Year to all by the way.

Warmly,

Renate Rietveld, IBCLC
BreastEd Senior Tutor with Health-e-learning.

At 21:21 6-1-2004 -0500, you wrote:
>Cindy's client has a baby with a stellar weight gain, which may be a
>clue. Also, the pacing of the flow achieved by the shield.
>
>Is it possible this baby has learned to hump the tongue and thereby pinch
>nipple as a coping mechanism for a slightly stronger MER/more copious
>supply than baby can handle without trying to stem the flow a little?
>What about consistently triggering the MER 3 full minutes before latch is
>attempted, and always using an anti-gravity position such that the milk
>leaves the breast in a trajectory more like a drinking fountain, with the
>baby's oronasal passages always above, rather than being "under Niagra
>Falls" with the oronasal passages in a dependent position to the nipple.
>Or a least, a neutral gravity position, after triggering the initial MER
>a full 3 minutes before latching.
>
>It would be interesting to see what 48 hours of a consistent trial of
>this would bring as far as changes in the baby's coping mechanism.
>Perhaps relieving the baby's need to protect himself from the flow would
>protect nipples from the trauma thereof.
>
>Jean
>************
>K. Jean Cotterman RNC, IBCLC
>Dayton, Ohio USA


*****************************************************************************
Renate Rietveld, IBCLC
E-mail  : [log in to unmask] Homepage: www.lactatiekundige.com
BreastEd On-line Lactation Studies Senior Tutor ( www.health-e-learning.com )
*****************************************************************************

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