Hi, Lactnetters.
Two requests for info today. I have one NICU mom pumping for twins who has a
prescription for Claritin for chronic sinus issues. She's not concerned
about amount of med that gets in breastmilk, but wonders if the med will
impact milk supply as it's an antihistamine and is long lasting. (Drying to
more than just mucus membranes?) Hale's does not touch on this issue. And
the second is a Mom who came back to see me with her 3 day old son saying
her nipples "really hurt" when he nurses. Had seen her x 1 in hospital maybe
12 hours after delivery and assisted baby to breast in football hold.
Discussed "open wide, tongue down and forward, chin in". Baby latched well
at that time but was sleepy, so not vigorously sucking. Now Mom says baby
has been jaw clenching/biting. Birth history: baby had right arm across his
chest , bent at elbow, with hand toward left shoulder at delivery. ("Hugging
himself".) Jaw slightly out of line now? Not obvious facially. But he did
the most bizarre thing I've ever seen ... with each suck he popped his jaw!
It both looked and sounded like a dislocation. No obvious jaw "sliding"
movement to the side, but a visible and audible click at the
temporal-mandibular joint! Nearly sent poor Mom through the roof! Tried
some massage to the area while he sucked, but Mom could not tolerate him
there long. He was also clenching, as if to "hold on" with his lower jaw.
Digital assessment had revealed a high arched palate. Mom's nipple and
areola were blanched when baby was removed. (Did ask if she had history of
vasospasm in extremities, etc., but she denied any.) Baby did at one point
"relax" back into a "regular" suck, but only for a few sucks and then
started the click/pop/clench thing again. This was definitely not a tongue
click, but a jaw click. Ouch!!!
Any suggestions or thoughts on either or both subjects is appreciated. (I
think I need a mental health day already and it's only Wednesday! Am going
to the Florida Lactation Consultant Association meeting on Saturday, so I
will feel renewed soon!)
Jean M.
Jean Macomber, RN, IBCLC
Lactation Consultant
The Family Birth Place
St. Luke's Hospital
Jacksonville, Florida 32216
904-296-5212
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