Hi everyone

I'm posting for a colleague on a new English private practice IBCLC 
list, who seeks your collective wisdom.  She writes:

"What is best course of action for spotting bluish colouration around 
a 3 day old baby's mouth?  Baby had had a little (breast)feed but not 
a good one and mum had not long given a tea spoon full of expressed 
breastmilk.  It didn't seem to last long and colouring returned to 
normal after a feed? Is this cause for concern? I shared with her 
that during a feed it might indicate difficulty co-ordinating 
suck-swallow-breathe (I think I have read this somewhere?) but as 
this was not during a feed I wasn't sure what it meant. The mum 
reported that her midwife said the blueness around the mouth can 
sometimes occur due to wind, particulary in bottle fed babies.  I 
have read about cyanosis during a bottle feed but of course my worry 
was that the baby was at rest, is not bottle fed and was not feeding. 
The wind idea could fit because mum had just spoon fed her baby and 
had thought she was windy."

We've found several lists for mothers which discuss blue/grey 
colouring around the baby's mouth after feeding as a consequence of 
"wind", but can't find anything from a more, er, respectable 
source.  What do you think?  How would you deal with this?

Many thanks if you can help.

Pamela Morrison IBCLC
Rustington, England

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