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I am seeing a mom whose baby has a posterior tongue-tie and a lip-tie and is not interested in revision.  He also has a more than average recessed jaw.  He can latch and transfer milk well but mom had a lot of nipple damage and now has candida.  When I visited, I was able to help her to achieve a pretty comfortable latch with exaggerated attachment in a laid-back poisition.  Since I saw her however, she was advised by someone else to use a nipple shield due to the yeast infection and pain and now the latch is worse.  She is asking for more help with latch and I am wondering if anyone here has much experience with helping a mom to nurse a tongue-tied baby?  I really like the description and pictures of latch here:

http://thefunnyshapedwoman.blogspot.com/2011/03/introducing-maxillary-labial-frenulum.html 

Does anyone have any other suggestions other than laid-back breastfeeding, compressing the breast parallel to baby's lips, asymmetrical latch and neck extension?  I don't think we can do much self-attachment because mom's pain is pretty severe.

Laura Spitzfaden, LLLL, IBCLC

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