When it rains, it pours.  It seems God is keeping me humble with my new
IBCLC status by sending cases my way that I have no experience with.  I am
so thankful for Lactnet.

A mom in my support group has a 12-week baby who was nursing fine until
about 3-4wks ago.  Baby now "clicks" and loses suction, but only on the left
breast.  Nipples are normal, although the left nipple is slightly smaller
than the right.  Mom had piercings in both nipples that are now healed.  Mom
reports that supply in left breast was lower, but she noticed about 4-5
weeks ago that supply now seems to be greater in that breast.  She says it
feels fuller and she gets more milk on that side when she pumps.  When she
first told me about the problem, my first thought was over-active letdown
and the baby was compensating, but after I watched her nurse I don't think
that is the problem.  Baby clicks throughout entire feeding on the left,
frequently loses suction and has to reattach.  Mom is feeling sore and raw
due to all of the popping on and off.  Baby is gaining well and does not
seem to be in distress during feedings.  Baby does have some white residue
on her tongue, but mom says it has been there pretty much since birth and
there are no other signs of thrush.  I suggested that the mom try nursing
the baby in the same position on the left that she uses on the right (i.e.
latch baby on right in cradle hold and then just slide baby over to the
left) to see if that makes any difference.  Any thoughts as to what could be
causing this?

Mellanie Sheppard, IBCLC
Lactation Connection
Arlington, TX USA


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