Annette,

I had a similar case--mom returning to F/T employment--baby gaining 
well at breast (very rapid--oversupply red flag), but would not take a 
bottle. He did not seem to have any idea as to what to do with it. He 
would not suck on a finger either. We did several things that finally 
worked, but it took many weeks (was 9 weeks when I met mom). First, the 
baby was tongue-tied and was getting plenty to eat because mom had an 
oversupply--he fed very passively, never efficiently. Tongue was 
clipped. Baby had a lot of CST--he needed a lot, as does just about any 
baby with tongue-tie, IMO--especially the older ones, b/c there have 
been so many compensations integrated into the system. Finally, mom 
used a pacifier to teach baby to hold onto it (the CST had allowed him 
to relax his gag reflex and allow a finger in his mouth). We tried many 
different bottles and he finally took the same bottle as the pacifier 
shape--the Mam.



We had the ped look once more at baby's tongue--there is a bit of the 
anchoring left, but mom decided not to have it clipped and that just 
knowing this is the underlying casue is something she can work with. 
Bottom line--it was always the togue-tie, and still is, but she is now 
compensating along with the baby. I know that Cathy Genna has said this 
before--but a reminder--the tongue-tie needs to be clipped all the 
way--it is very misleading when it is clipped only part of the way and 
mom thinks that the tongue-tie is out of the equation and there is 
either no improvement, less then expected or things actually get worse.



Jennifer Tow, IBCLC, CT, USA

Intuitive Parenting Network LLC



-

Date:    Tue, 5 Jun 2007 21:18:29 EDT

From:    [log in to unmask]

Subject: disorganized tongue on bottle



I have permission to post this from a mom in our support group. This is 


mom's 2nd baby. First baby breastfed and took a bottle very well. Mom 
works full



time. Second baby is now 11 weeks old and is having a hard time with 
the

bottle.  She places around with the nipple in her mouth. Her tongue is 
all over

the

  place. She does not do this when breastfeeding. Mom will be returning 
to

work  soon. Dad will be watching baby. The baby does seem to swallow 
some of the



milk.  Mom has tried 5 different nipples. Any thoughts or ideas on this 
one?



Thanks,

Annette Leibovitz



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