Having a short mandible (lower jaw) can make it more difficult for the
baby to suck properly. Sometimes getting mom and baby sidelying in bed
will help bring baby's head back enough that the lower jaw can get into
the breast well. Encourage mom to have baby's body lower than she thinks
she should, so he has to reach up for the nipple, and tip his head way
back. She can pull him close to her by the small of his back, this tips
his head even more.
It's a myth that babies cannot swallow with their head extended. Their
soft palate and epiglottis touch, and their larynx is much higher than
adults.
Catherine Watson Genna, IBCLC NYC
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