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Subject:
From:
Marcia Streiff <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 6 Aug 1998 19:49:23 -0500
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Re:  Linda Smith's post on suck problems after epidurals and vacuum
extractions:
I've worked with a few babies over the years who had feeding problems after
vacuum extractions WITHOUT epidurals.  Most often, the baby had no rooting
reflex and extremely poor facial muscle tone; but usually had adequate
tongue and jaw movement.  It has been transient in the babies I've worked
with, generally resolving in 3-4 weeks.  It seems to be a temporary
neuromuscular deficit, perhaps linked to pressure or fluid changes in the
brain from the vacuum extraction.  We've managed the problem clinically by
effective pumping, coupled with finger feeding/suck training for a few
weeks.  The Dancer hand position has also been helpful.  The babies I've
worked with have made the transition to feeding at breast, when the mom was
willing to make the  considerable committment of supporting the milk supply
and using the special feeding techniques.  If anyone's looking for a
research project, I'd love to see this pursued.

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