Holly McClellan is the primary author of the original study on excessive 
pressures. I've spoken at a conference with Donna Geddes where she 
presented their research, and at least one of the ten babies had a 
posterior tt (she showed photos of the baby, and tongue elevation was 
obviously restricted. I encouraged Donna to look at tongue mobility and 
not just appearance to rule out tt.

That said, the results of using a nipple shield (well fitted to mom and 
baby) to reduce the baby's abnormal sucking pressures still stands.

As a general rule, it is important to read research carefully to see 
what really was ruled out and how. Thanks for bringing up this helpful 
information, Jane.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com

On 1/29/2013 10:32 AM, [log in to unmask] wrote:
>   I attended a conference a couple of years back where in a breastfeeding clinic they were able to measure a baby's suck that mother had persistent nipple pain with no t-t and discovered for some reason this baby had sucking pressures off the charts.  Used a nipple shield to reduce the pressure (in my personal research I have found that nipple shields decrease vacuum by an average of 40 mmhg) and this corrected the issue.  In case studies with babies with high vacuum, able to stop use of shield at around 4 months when baby's pressures decreased to a normal level.  Just something to try ---
>

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