Jane,

Are you sure there is no tongue tie? That would be my first guess. If not,
then why the tongue thrusting? Maybe an OT/PT consult is in line.

I do teach moms and dads to suck train...usually by finger feeding with
good finger positioning, all the way to the soft palate. This mom needs a
break...a double electric pump and some time for her nipple to heal (IMHO).
That will give dad a chance to suck train. Dads are usually better at it
because of their larger fingers.

I doubt this is yeast.

Strongly reccomend finding out the root cause...if no tongue tie, what is
happening oro-motor wise?

Susan Keith-Hergert RN, MS, CPN, IBCLC

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