Julia,
Look at the reasons WHY the baby has such a high palate, and try to 
address those. Muscle moves bone. If the palate is high and narrow or 
oddly shaped, the tongue has not done it's job widening the palate and 
reducing it's slope. Look for tongue tie, low muscle tone, and 
neurologically based tongue movement deficits. A true "bubble" as 
defined by Chele Marmet might possibly (I'm theorizing here) be caused 
by the baby keeping the tongue tip in that little high area due to a 
short jaw or very long tongue.

What to do depends on what you find.
Optimizing latch is very often the first step. Help mom get baby in a 
nice asymmetrical approach, body cuddled to mom's midsection, chin on 
breast, philtrum to nipple. (Breastfeeding Made Simple (book by Nancy 
Mohrbacher and Kathleen Kendall-Tackett) and Follow Me Mum (DVD/video by 
Rebecca Glover) both have lots of detail on how to do this. (I have no 
financial interest in either work). I recommend letting baby do most of 
the work. Mom snuggles baby in position, and WAITS. This gives the baby 
more time to organize his tongue movements and get the tongue down in 
the mouth for a better latch. Let baby grasp the breast and lunge toward 
it himself, snuggle him in a bit as or just after he's done that.

If you can give us a much more detailed assessment of what this baby is 
doing with the tongue, at rest, when interacting, during crying, and 
when breastfeeding, and anything else you notice about the baby's motor 
skills, tone and feeding abilities, we can be far more helpful. If you 
don't know what to look for, refer her to someone who does and go along 
and learn. (None of us know everything).
Catherine Watson Genna, IBCLC NYC

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET email list is powered by LISTSERV (R).
There is only one LISTSERV. To learn more, visit:
http://www.lsoft.com/LISTSERV-powered.html