Hi, Jeanette -

YOu said: "I don't think the problem here is the tongue as much as the high
palate
which will prevent good breast compressions..."

Well, I don't know of documentation on this, but I suspect that the
pliability & conformity of the breast tissue might work in this baby/mom's
favor. Think about how well babies can do nursing on even pretty
largely-cleft palates. Doesn't it seem that if the breast is soft &
malleable and the mom can get a good amount of tissue in, when the baby
closes its jaw & works its tongue (even if moderately short-frenulumed)it
will sort of fill in the space & "seal"?

But ask Jean Kotterman what she thinks. It seems to me that sometimes this
type of "silly-putty" breast, as pliable as it may be, is hard for the baby
to get to the ducts. Sort of like the tubular breasts she talks about.

Interesting question...let us know how things work out with this mom!

Cathy Bargar, RN, IBCLC
Ithaca NY

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