a few months back, i posted a case titled "zero milk transfer".  cathy
genna and a few others asked if baby had preauricular ear tags - i didn't
know what they were, but it turns out baby didn't, and went on to
breastfeed well, eventually.

well, today i saw my first baby with preauricular ear tags!  baby is
transferring poorly at the breast, but there are other factors that might
be contributing to poor transfer - possible low milk supply due to some
risk factors in mom.

However - with a good latch and a lactation aide in place, baby appeared to
nurse well (rythmic, wide jaw excursions, etc.) and kept milk in the tube,
however simply didn't transfer much via lactation aide - 20 cc in
15  minutes or so - and was still hungry.

so i am asking you all, as i begin my search - are the preauricular ear
tags a red flag of some potential syndrome that has no other visible (to
me) symptoms but can impede suck function?  I saw no other signs of genetic
anomoly - though i know they aren't always obvious.  Baby has been gaining
well on supplement, but is always hungry - never satisfied.

After this next week, i hope to hone in on exactly what the problem is, and
am keeping my fingers crossed it is just impeded milk supply.  Thanks in
advance for any insight.


Lyla Wolfenstein, B.S., IBCLC, RLC
Early Attachments - Breastfeeding Preparation and Support Services
email:  [log in to unmask]
phone:  (360) 281-4719
web:    http://www.earlyattachments.com

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