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Subject:
From:
"Alison K. Hazelbaker, MA, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 5 Jul 1998 20:28:25 EDT
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Ann: I have a theory that I think may hold some merit. I hink the narcotics
are somehow affecting the ability of the nerves responsible for the sensory
aspects of suck to malfunction. The trigeminal nerve, in particular is suspect
because it receives sensory input via the hard palate. I wonder if the type of
narcotic makes a differences (if it specifically sequesters in the brain) and
if its half-life makes a difference, as with fentenyl (sp?). I especially see
the kind of problem you describe with babies who were vacuum extracted after
the epidural interfered with labor. There is a more known affect as a result
of abnormal molding from the vacuum placing tensions on the dural membranes
which do have an effect on the trigeminal nerve where is passes through the
tentorium.

As I work with these babies (and I always seem to be the one who sees them
because I am the last stop before weaning in my community). I am amazed at the
level of disruption of their normal cranio/sacral function. I now see the
pattern, as you described it in this baby. We simply must either 1) stop
interfering in childbirth indiscriminately OR 2) respect infant feeding and
infants' ability to feed well to find out why they aren't when they have been
drugged and pulled out!

Off my soapbox!

Alison K. Hazelbaker

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