Sender: |
|
Date: |
Sun, 3 Dec 2006 11:13:51 -0500 |
Reply-To: |
|
Subject: |
|
MIME-Version: |
1.0 |
Content-Transfer-Encoding: |
7bit |
In-Reply-To: |
<000e01c716d4$d7f899a0$f52184d9@epoch> |
Content-Type: |
text/plain; charset=windows-1255; format=flowed |
From: |
|
Parts/Attachments: |
|
|
Chayn,
Did you use fluid when you did the suck exam? Babies suck very
differently with and without fluid. Sometimes those that seem good
without fluid change their tongue movements with it. If the suck seems
"fine" without fluid but mom is getting chewed up, I use an eyedropper
or small syringe to give baby some expressed breast milk. One often
feels what is being done to mom then.
Another reason why you might not feel a problem but mom might is the
difference in gape between finger and breast. Baby has to open much
wider for the breast than the finger. If a tongue is marginally tight,
it will retract proportionally to the baby's gape, in other words the
tongue pulls back more if the baby opens more. This exposes the lower
gum and causes baby to bite.
Another possibility is the decreased milk production. Babies use more
positive pressure when milk flow is slow. You will feel that on a finger
in a healthy baby who sucks progressively harder when she or he does not
get milk from the finger. Same thing happens on mom.
There are really only a few mechanisms for nipple compression - the
latch is shallow, or the baby is using excessive compression with the
tongue or jaw, or both.
If you are near Tel Aviv you could see if Dr. Eyal Botzer would see the
baby. He's done several studies and articles on tongue tie, and came to
the US to visit Dr. Coryllos and I and see her do posterior frenotomies
in the office. He'd already treated some there, so he would be able to
see if the baby had a subtle one.
Catherine Watson Genna, IBCLC NYC
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET email list is powered by LISTSERV (R).
There is only one LISTSERV. To learn more, visit:
http://www.lsoft.com/LISTSERV-powered.html
|
|
|