Something that I once noted that I haven't seen mentioned was with a
probable sub-mucosal cleft plate a baby's latch looked fine except that she
tilted her head way back so that her nose was far from the breast. Mom was
in pain (hence the home visit) but baby had done her best to adapt.

Freyja May
LLLL, Colorado

On Mon, Sep 7, 2009 at 1:47 PM, <[log in to unmask]> wrote:

> Re loud clicking while breastfeeding: Someone should assess this baby for a
>  sub-mucosal cleft. Babies that have this make a "Maggie Simpson on a
> pacifier"  noise--learned this at an ILCA conference in Acapulco, or maybe
> Chicago. Anyway,  that's exactly how it was described and I've since seen
> it. What
> you or pedi  will see when looking in the mouth with a light is either an
> absent uvula or a v  cleft where the uvula should be. I don't believe there
> is a real fix for this.  *These babies have a good mouth seal on the
> breast
> but lose suction because of  the weakness of the soft palate. Some babies
> can
> nurse ok with this--others have  more difficulties. Regardless of what this
> baby's issue is if the nipple shield  is making feeding more comfortable
> for
> this little one then I would use it.* And  I agree with Nicki--this baby
> needs a full assessment by a specialist or pedi  ENT.
>
> Now I'm remembering that one of my colleagues when I worked at Stanford
> picked this up on a baby and I think ENT did a procedure. I could get more
> info re procedure if anyone wants it.  And what alerted her was the "Maggie
> Simpson clicking noise.
>
> Kathy Boggs, RN, IBCLC
>
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