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Subject:
From:
Jennifer Tow <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 5 May 2000 23:45:36 EDT
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In a message dated 5/5/0 8:31:34 PM, [log in to unmask]
writes:

<< Mom has had chronically sore nipples which we have treated for poor latch,
then
yeast, then Reynauds. All of these management approaches were somewhat but not
entirely useful and symptoms seemed to recur within a couple of days. At no
point during this time period did mom report her pain while feeding to go
below
a 4/10. Many times it was as high as 8/10. After these high pain feeds, mom's
nipple would be creased and blanched.

I referred her to our OT who is also trained in CST. We got these visits
covered
by insurance and I went to the first one today. The CST/OTRL found the baby to
have a very tight suck and spent about 30 minutes "massaging" theroof of the
mouth and base of the occiput. After this treatment babe went to breast and
guess what???? No pain. Zero/10. No crease. No blanch.

Incredible. Mom thanked me profusely for reccomending this treatment.

I've heard that it works and now I've seen it. I guess I just didn't expect it
to be so obvious and remarkable.
 >>
Susan,
Sadly, this is one of the *most* underutilized skills in resolving lactation
problems. I have yet to see it fail when families are willing to try. A red
flag that warns me this may be needed is birth trauma or possible trauma. If
the baby has been vacuumed, forceps were used, had pitocin, was posterior,
birth was precipitous, I store it in the back of my head. If correcting latch
and positioning doesn't correct problems and I have ruled out high palate,
tongue-tie, etc and yeast is not the culprit, I turn back to the birth. So
very often, babies suffer from medicalized births which tend to manifest in
tight jaws, erratic suckling, etc.
    I personally believe that this is a huge component in colic and the
bahaviour of "high need babies". I have seen extremely miserable babies shift
completely from cranial-sacral work or Network Chiropractic. (Personally,
only such treatment has ever been able to help me with a migraine once it is
established, so I can imagine how it must help a baby who has a headache). I
have seen the kind of immediate relief you describe for the nursing mother as
well. The up-side is that it is almost like magic when it is needed. The
down-side is that peds in my area tell parents *not* to do it and completely
undermine my efforts to help families in this way. Those who do get the help
(probably 10 or so a year) usually go behind their doctors' backs and never
tell them they went, so they never learned that it helped their patients.
Jennifer Tow, IBCLC, CT, USA

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