Any lesion that takes up space in the mouth has the potential to impede 
breastfeeding. Deflection of the posterior tongue down to the floor of 
the mouth while the anterior tongue holds onto the breast creates 
negative pressure to allow milk to flow from the breast to the baby's 
mouth. Anything that reduces the amount the tongue can move reduces the 
pressures the baby can make!

If there are no other issues, the baby might be able to breastfeed with 
a supplementer device, but mom will need to express to fill the device 
to keep her supply up until the lesion resolves.

Catherine Watson Genna BS, IBCLC  NYC  www.cwgenna.com

On 10/24/2015 2:35 AM, Debbie Windover wrote:
>   Hello all--
> Does anyone know of a case where a salivary gland mucocele  located on the
> floor of baby's mouth at the base of the frenulm could cause suckling
> problems? 3 day old baby is having trouble transferring milk from
> mother who has adequate supply assisted with pumping. The mucocele is
> approx 10mm across, but pediatrician does not feel it would cause a problem.
> Thank you for any thoughts.
>
> Debbie Windover, IBCLC
> Berkshire Nursing Families, in Western Mass.
>
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