The blocked nose could be due to inflammation of the mucous membranes, 
mucous/secretions, or a physicial narrowing or blockage of the choanae 
or pyriform apertures.  If there is no nasal regurgitation, it is less 
likely that the soft palate is not working right and allowing milk to 
flow back into the nasopharynx, but sometimes a mistimed swallow can 
cause a more minor nasopharyngeal backflow. The baby rarely does better 
with a bottle in that scenario. I second the ENT referral.

Allowing the baby to self attach., keeping hands away from the baby's 
head so he can let go whenever he needs to, and having mom even more 
reclined so he can feed prone can all help, whatever the cause.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com


On 4/13/2011 2:34 PM, Sarah McCann wrote:
> Hi o wise ones,PTP.  Working with a mum who had an elective C-section.  Baby wouldn't latch.  Mum felt midwives in the hospital were brutal in their attempts to latch baby.I saw mum on day 7.  Helped her with ssc and lying back.  Baby too sleepy to feed - liked being against mum though.  Baby had latched twice in first week.  Since then baby has latched on and fed occasionally at breast.  Mum feels baby's snuffily, blocked nose is causing the problem as baby tries to latch on. Sometimes she (baby) gets it other times its as though she can't breathe if on and so can't get on.  Baby has no problem feeding from a bottle. There is no sign of milk regurgitation through nose.  Am I right in thinking the blocked nose could be due to the c-section?  More importantly any ideas on clearing the mucous?Many thanks in advance,Sarah McCann.  BScHons, IBCLC, LLL Leaderwww.BreastfeedingResourcesNI.co.uk 		 	   		
>               ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome