Subject: | |
From: | |
Reply To: | |
Date: | Fri, 23 Sep 2011 19:27:06 +0200 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
I have seen a mother with a baby who latches on but not effectively
(mouth angle 90-100 degree, shallow).
Mother has no pain but the baby nibbles at the breast without sucking
effectively (very negligible intake).
The mother is probably not managing to stimulate a wide gap and to seems
not able to find the movements necessary to help the wide latch.
She also has rather large nipples.
I have tried to make an assessment of the sucking ability of the baby,
and all seemed well (good grooving, correct wave movement), a part from
the fact that the tip of the tongue did not elevate (protruded beyond
the lower gum, but did not reach, not even tried to reach, the upper gum
when stimulated nor when the baby was crying).
The one time we did manage to have the baby latched properly, she
breastfed beautifully for a couple of minutes with a good swallowing
rhythm and measured milk intake.
Then she got off the breast and that was the end.
There are, in this case, many factors that may be contributing to the
poor latching, but I am wondering if the fact that the tongue did not
elevate has a clinical meaning, or if it could be irrelevant.
I have not managed to find out if the baby occasionally do elevate the
tongue tip or not. I have asked that to the mother, explaining that if
the baby does not do that, it could be sign of a problem (which could
explain their difficulty), but the mother never answered directly.
Hope you can share your experience on tongue tip not elevating.
Could it contribute to poor mouth opening?
I am convinced enough that the problem is in latching, rather than in
suckling.
Thank you for any suggestion.
Micaela
LLL Leader, Italy
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|