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Subject:
From:
Lisa Marasco IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 10 Feb 2007 16:07:33 -0800
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>>but it made me think of this because 2 of my 3 babies clicked, but our
latch was comfortable and they were gaining normally.  So I wanted to point
this out for the benefit of those less experienced people who may be reading
Lactnet, including mothers out there who lurk.>>

This shows how much our experience helps to shape our perspectives. I had
*one* baby who clicked like crazy, and all was apparently going okay. I
knew/had heard that babies should not do this so I was looking for help
right away as an experienced LLL Leader, but two IBCLCs could not find
anything wrong with what we were doing. He was getting enough to eat and I
wasn't having any pain, so it should be ok, right?

Six months later my son stopped growing well and I lost my milk supply.
Three years later during an anatomy lab class I figured out that he probably
has a submucosal cleft-- he has my bifid uvula, and these things often go
together, and gee, *I* have minor clefts of my hard palate and other midline
abnormalities.  Overtime, his inability to draw the milk out well himself
(he lived off my fire-hydrant MER and high supply in the early weeks and
mos) could not sustain my milk production and it dwindled so imperceptibly
that I wrote it off to postpartum changes. It was the kind of thing that, if
I had sought out 10 or 50 IBCLCs, it probably still would not have gotten
diagnosed because it is so subtle. Needless to say *I* am always on the
lookout for the unusual when I hear substantial clicking, especially in the
absence of obvious frenulum problems or other obvious explanations like baby
fighting a high flow rate. My personal experience has made me a little more
paranoid on behalf of my clients, while Lynette's experience has made her
more circumspect. :-)

Lisa Marasco

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