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Date: | Mon, 22 Jan 2007 22:22:53 -0500 |
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We sometimes see babies who are able to latch when the breast is soft,
but have a much harder time once the breast is firmer as milk production
increases. They usually are able to latch as the excess fluid recedes
and their mouths grow. Posterior tongue tie is one condition that can
cause this scenario.
Usually babies that can make breastfeeding work are happy to do it, and
those who latch onto an alternate feeding method as if it's the first
time they got fed (it may be so) are generally making a rational choice.
How to make breastfeeding work for the baby is the problem that our
detective work must tease apart, and find solutions for.
I'd be encouraged that the baby is latching when she is most alert and
organized, I'd encourage mom to keep on offering, and hang in there. I
would not continue fingerfeeding if it is taking a long time. It should
be an efficient method of feeding. What device is mom using? If you have
specific oral motor problems you are addressing by fingerfeeding, then
perhaps mom can alternate fingerfeeding and bottle feeding, along with
offering the breast frequently, to ensure that the baby gets sufficient
milk, gets some strong oral input, and gets the message that there are
many ways to get fed.
Catherine Watson Genna, IBCLC NYC
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