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Lactation Information and Discussion

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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 24 Jan 2001 00:52:41 -0500
Content-Type:
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Hi Jeanette,
I think the high palate is the result of the tongue-tie preventing the
tongue from elevating against the palate to help it spread laterally and
flatten.  In the situation you describe, I like to use a modified
football hold with the baby wrapped around mom's hip, facing her side,
and baby's lower lip about a half inch under the nipple.  Mom  plants
that lower lip on the areola, and waits for the mouth to open wide, then
pulls the baby on by the shoulders to get a deep latch.  If mom leans
back, gravity helps hold baby against mom's chest.  If done right,
baby's head will be a little extended, and the latch will be
asymmetrical, with more breast tissue over the tongue and less under the
palate.  This gives the baby leverage to press the breast against the
superior alveolar ridge (upper gum) and anterior palate with his
tongue.  The more breast in the mouth, the less the tongue restriction
seems to matter, because when the mouth is more full of breast, the
tongue has to lift less to press milk out of the breast.  Can you
picture that?
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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