I am a speech pathologist and IBCLC, interested in knowing if there any LC's
out there that have had any exclusive breastfeeding cases, where the baby
had a cleft of the hard or soft palate. All the literature printed makes it
sound like it is possible, however, in two cases that I have worked with,
both babies had soft palate clefts, and didn't appear to be able to create
sufficient negative pressure in order to breastfeed successfully. Both moms
are pumping and providing breastmilk exclusively, but are not feeding their
infants at the breast. I have not found any LC's in our area that have
success cases. We were wondering if it was because our local cleft palate
clinics don't push for palatal obturators right away, and maybe that would
aid in success. I'd appreciate any success stories.
I also was wondering if anyone has had any experience with breastfeeding
mothers with hypothyroidism, with low milk supply issues. I recently worked
with a mother who just had her second baby. She is on synthroid, for
hypothyroidism. (She was unsuccessful with her first child, and said that
the baby was constantly nursing, and then at her two week check up was found
to have not gained any weight. She never experienced any breast changes in
the post-partum period). I saw her second baby on his third day of life,
and he appeared to be nursing well, and quite effectively. She was nursing
the baby anywhere from every 1 1/2 to 3 hours, and appeared to be doing ok.
Once again, when she took the baby in for his two week check-up, he was not
yet at birth weight. Like her first child, she never felt any breast
fullness, or engorgement in the post-partum period. She had her thyroid
checked,and her levels were normal, not on the low side. She's quite
discouraged, and she has no interest in using an SNS, so she's nursing and
supplementing with formula. I have also had another patient with
hypothyroidism, who never experienced any breast changes or fullness in the
post-partum period, and when her thyroid levels were checked, they were
normal. Does anyone have any other suggestions for these moms, when the
infants seem to exhibiting normal suckling abilities, and it's the mother's
issue of milk supply? Do you think it is related to the hypothyroidism, when
all other possible causes of low milk supply have already been ruled out.
Jill Rabin M.S. CCC-SLP/L IBCLC
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