I assume you already have used it, but the use of a recliner (preferably one
that will provide support to her arms and a small pillow at her head) or a
bed with many pillows where she can create a nest based on her comfort -
them placing the baby on top (biological nurturing, laid back breastfeeding,
instinctual nursing position - pick your name) would allow her to keep her
back comfortable and provide many, many opportunities for the baby to
attempt to latch as well as cuddle, and use gravity to promote deeper latch.
I agree that often high palates and tongue ties are often connected, but at
times the clipping does not solve the problem, or as in various cases I've
dealt with - it really isn't the cause, or the mother refuses to pursue it
or there are no physicians she can afford who will do it.
In some of these cases, I found that getting baby to get and keep a deep
latch using this position is helpful. I encourage moms to use Reverse
Pressure Softening to make the areola pliable enough to go INTO the high
palate - while allowing the nipple to get past the ridge formed by the high
palate in the back, can create good milk transfer with little or no nipple
pain. As the baby gets older, (by 3 months, if they can stick it out), I've
observed that (probably due to baby's fast head/oral growth) they can nurse
effectively with no special assistance.
Of course there are many other concerns in your question and many others
much more expert than I will provide you with their experiences, but I
thought I'd share these with you, as access to Health Care Providers who
will intervene has been a problem for me ever since I moved here!
Jeanette Panchula, BSW, RN, PHN, IBCLC
Vacaville, CA
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