Have permission to post -- baby is almost 3 weeks old and I saw him at 5  
days when he was still having dark scanty stools and pees, looked jaundiced  too. 
 Mother's nipples were quite sore and fairly flat, but not  inverted.  Baby 
had a very shallow latch and bunched tongue.  We  managed to latch with a 
nipple shield and used tube feed in that as well to get  more milk into him. He 
would slip down to tip of shield as he would at  breast.  Mother has begun 
supplementing more and more with EBM, first with  Soothie nipple and now switched to 
Avent nipple cause she heard it was "just  like the breast."  No comment.  
Anyway, I finally convinced them to  see a local ped about the baby's tongue 
which I believe may well be a  posterior tongue tie and he said that there was 
nothing wrong with the  baby's frenulum and she should "just keep on trying."  
She is very  frustrated and says that now, he does not even open wide for 
nipple shield  and is pinching her when he does latch onto shield.  She feels he is 
 getting even worse from all the bottles.  She has managed to keep him  
gaining weight.  Doc did say that baby has "a funky suck and is not  lifting the 
end of his tongue.  He is curling his tongue and rolling  it so that the nipple 
ends up in the side of his mouth."  Oh  my.  The only thing I have left in my 
back pocket is to suggest  they go to the pediatric dysphasia clinic, but I am 
out of ideas now.   Do you all have any?  Thanks, Ann
 
Ann  Conlon-Smith, IBCLC 
Triangle Lactation Consultants 
919-845-8826 
_www.trianglelactation.com_ (http://www.trianglelactation.com/) 






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