Jody  writes:

Bubble  palates can change, but hers did not.  We made sure she had a 
weekly  weight check to be sure she was gaining.



~~~
Agreed. Some babies whose palate has remained high/arched due to in utero  
tongue restriction, will broaden and flatten to normal after the release, 
and  with ongoing feeding at breast, bodywork as needed etc. This can take 
time, and  may be part of why many of the releases I see do not result in 
immediate  change in terms of latch, milk transfer, mom's comfort etc. 
Other babies seem to have the high palate without a noticeable releasable  
restriction. They may have a deep Type 4, which I find the hardest 
assessment to  make. The baby I saw yesterday, who was 4 ounces over birthweight at 7 
weeks of  age, had a high palate. High palates are "midline issues", and 
may occur in a  constellation that includes tongue restriction, 
laryngomalacia, increased reflux  issues etc. Baby had no releasable tissue I could 
palpate or see, though it may  be hiding way back. Baby did have significant 
laryngomalacia which affected  breastfeeding and feeding with an assistive 
device. Work of breathing seemed so  high she would just sit and stare after 
eating, her color was good but she  looked so out of energy. Considering her work 
load and her inability to feed  adequately, she actually looked good 
developmentally. Strategies to conserve  energy, feed with support keeping in mind 
baby's capabilities and needs, and an  explanation of what was happening 
seemed to help this mom and grandmom a lot.  Apparently no one had explained 
or noted the severe noises, fatigue, sternal  retraction, etc that was so 
obvious to the family. I have no doubt that a lot of  skin-to-skin had been 
really helpful in keeping this baby on track  developmentally and mom was happy 
to hear that. Sometimes I would actually like  to see a TT I can talk 
about, but some of these little ones have something like  this which we cannot 
fix so "easily".
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
[log in to unmask]

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

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