For those with lots of experience with sucking issues:
 
What exercises would you have a mom do with her baby to encourage a strong  
suck other than the ones already in the archives and BAB.  I am looking for  
more information about what a SLP or OT would do to help a baby maintain a  
decent seal and stop sucking in air with feeding rather on breast or  bottle.  
Something a mom can do herself to help strengthen the baby's  seal?  
 
This is in reference to the previous post about the baby who doesn't  
maintain a decent seal and seems to take in lots of air on both breast and  bottle. 
(Mom tried to use a bottle to see if it was just her breast causing  it...it's 
not.) Mom doesn't think it is about OAMER because it  happens even at the end 
of a feeding when she knows there is very little  milk flow.   I did suggest 
she ask her physician for a referral  to a SLP or OT for evaluation.   
Unfortunately, doctor will NOT refer  to specialist and says her insurance will not 
cover any such care.  Baby is  gaining well.  The only thing he wants to do is 
an upper GI for ruling out  GER as a reason for the gas. Mom doesn't want to 
put the baby through  an upper GI when she feels it is about taking in large 
amounts  of air during the feeding. Baby does not spit up at all.  
 
Someone mentioned submucosal cleft to me off list, and I am wondering ---  
isn't this something the pediatrician would have noticed during an exam?   How 
common is this and how often is it missed?  I have read on line about  it, but 
it says it is rare.  However, is it one of those things that  bottlefeeding 
mothers would not notice and would go undetected for a long  time?  
 
Thanks,
Pam MazzellaDiBosco, IBCLC, RLC
 
 
 

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