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Date: | Mon, 14 Feb 2011 06:22:14 -0800 |
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Hi lacnetters,
I have mother's permission to post.
I have a question about bubble palates. I know they usually come along with
tongue ties, but I have one case which that does't seem to be the issue. I have
seen a fair number of type III and IV tongue ties, so I don't usually miss
them. Baby is 9 weeks old, was induced at 36w5d due to slow growth in utero.
Baby was born at 4lbs 8oz.
Baby was mostly bottle fed from birth, mostly formula, some EBM. Mother
contacted when baby was 9 weeks old wanting to transition baby back to breast.
Baby is currently 8lbs 12oz
Baby is willing to latch, but doesn't open mouth very wide. Upon digital exam
palate appears to be high arched. I think it is probably a bubble palate from
the way it feels.
Mother has gone from bf 4 times in 24 hours to 12 times in 24 hours upon my
encouragement to increase her milk supply. Baby is also receiving some formula
as suppliment as well as some EBM while her supply increases.
Mother has very sore (but not cracked yet) nipples. I have suggested ways of
improving latch, using EBM on nipples, and lanisoh cream. I have passed on info
about coconut oil, but haven't brought up the MediHoney yet since I am not sure
if it is available around here.
Any other suggestions for nipple soreness with a bubble palate? Will the latch
improve as baby grows?
I have also showed her some tongue exercises to get baby to use her tongue
properly, but I don't think parents have tried them yet.
Baby is very laid back, does't have a worried look, but does get frustrated at
the breast (which is understandable after bottle feeding for her whole life).
Tania IBCLC
www.mothersnectar.ca
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