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Date: | Wed, 4 May 2005 10:13:58 EDT |
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In my area I am lucky enough to have several pediatricians who easily clip
in office. However, some mothers do not get this issue diagnosed until weeks
into the sore nipples and slow weight gain. That seems to be one piece of
the difference in results also. For those moms who get the diagnose in day or
so, and get immediate clipping in a ped's office minus the analgesia and
cauterization there does seem to be almost immediate relief and better feeding.
However, for those who have babies in the weeks or months range who have been
suffering with their sore nipples and finally get help, it may not be as
quick a fix. If they see an oral surgeon in the area the procedure itself is
followed by cauterization, and this seems to lengthen the healing process.
Because of the age, there is a much longer period of time of 'misuse' of the
tongue that needs to be corrected. These dyads take longer to heal, longer to
get breastfeeding going well. It also depends on compounding factors such as
a high palate or narrow palate due to the lack of the tongue's ability to
reach the palate and shape it properly. I never tell a mom to expect
'immediate' improvement because you just never know.
On my list of things I wish were done: as long as they are checking the
babies out, why not routinely check for short frenulum also. They check for so
many things, and this is so easy to check for. A quick range of motion, a
quick check under the tongue, and if there is a problem mom can make choices
for treatment immediately. Seems to me it would make a lot of sense to deal
with this earlier rather than later.
Take care,
Pam MazzellaDiBosco, IBCLC
FL, USA
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