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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:
Sat, 23 Nov 2002 22:50:19 -0500
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WHen there is a combination of short frenulum and short jaw, the baby
often bites the milk out of the breast.  I believe that this cuts off
blood flow to the nerves in the nipple and irritates them.  This seems
to cause the migraine like huge blood flow-clamping down of the
arterioles-low blood flow = vasospasm.

The IBCLC is right that there is no immediate easy answer.  An extremely
asymmetrical latch will help reduce the baby's need to clamp, treating
the frenulum will be helpful too, but mom needs some relief NOW to keep
from quitting.  While she works on getting the positioning  and latch
just right, she can be encouraged to pump and give an occasional bottle,
cup, fingerfeed, whatever, for relief.  Usually by 12 weeks, this
problem gets a lot better, but it can be very hard for mom to hang in
there.  Nifedipine (the calcium channel blocker) can reduce moms pain
from the vasospasm, as can warming the nipple after breastfeeding.
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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