Help needed here.  Just got home (oh these hours are killing me) from  a 
consult with 5 day old baby with an unusual (for me) situation.  Mom  called me 
because she was concerned with baby's low output and lots of clicking  going on 
at breast.  When I observed feed, oh yes, lots of clicking indeed  and then 
when I looked at baby -- very crooked mouth and tongue.  I have  never really 
seen this as pronounced as this one before.  Of course she is  clicking!  When I 
did weights, the intake was minimal though it had sounded  like there was 
swallowing -- there wasn't really.  Was able to feed her  some with periodontal 
syringe, finger feeding was fair, and nipple shield  helped, but marginally.  
Cup feed did not work as her tongue was never in  the right spot and milk went 
everywhere.   When I laid her on bed, she  looked a little like she might have 
Torticollis since she turned to left  repeatedly.  It is holiday weekend here 
so I have encouraged them to  supplement with syringe or tube with finger or 
by bottle until they  can see a doc on Tuesday.  Midwives d/c them after birth 
saying, "just keep  an eye on her mouth but it probably from birth."  Maybe 
it is, but I cannot  imagine how this will just miraculously correct itself.  
Birth was  fine. Also, baby spit up twice after feed and spit up was pinkish 
and then  brownish... Scared me some, but I am not sure.  Mother's nipples were 
not  bleeding.  Baby has lost 8% of birthweight.  I have left them with a  
scale and told them that baby must start gaining as of now, with supplementation  
using EBM which mother has.  Are we talking ENT?  Cranial  Sacral?  Dysphasia 
Clinic?  Help me out here, please. Thanks,  Ann
 
Ann  Conlon-Smith, IBCLC 
Triangle Lactation Consultants 
_www.trianglelactation.com_ (http://www.trianglelactation.com/) 




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