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Date: | Thu, 1 Nov 2007 16:29:06 -0500 |
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Sounds like this baby has a slight tongue-tie. Fingerfeeding right
before feeding at breast was great, that can often help the baby
organize his movements and improve his breastfeeding.
I would be very concerned that it takes an hour for him to latch. I'd
feed him more by fingerfeeding if he doesn't latch in 5 minutes, to make
sure he gets enough food, and that mom has time to pump to keep her milk
production up.
One thing that might help him latch: babies with partial tongue-ties
tend to retract their tongues as they open their mouths wide. Sliding
his chin a little farther away from the nipple might help him feel the
breast with his tongue (as the breast gets "fatter" the farther back
from the nipple we go).
Another cool trick is to dent the breast with a finger, right at the
margin of the areola, and place baby's chin in the dent. This makes the
areola area bulge out a little, and can help a partially tongue-tied
baby to grab it.
A baby like this who is "almost" breastfeeding will probably improve as
his mouth grows a little and he can get a bigger mouthful of breast. If
not, he can be taken for evaluation of the tongue-tie. There are several
docs in Israel that treat partial ones. Dr. Mira Leibovich just spent
time with both Dr. Coryllos and Dr. Smillie here learning how to do the
subtle ones.
Catherine Watson Genna, IBCLC NYC
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