Nancy,
Are the ridges running from front to back on the palate, on either side 
of midline? If so, there could be a submucous cleft palate. Look for a 
bifid (split) uvula, but this can happen even with an intact uvula. 
Infants with submucous clefts often have difficulty generating perfect 
negative pressure in their mouths, get smaller mouthfuls of milk, and 
may lose their grip on the nipple, allowing it to slip forward in the 
mouth and be injured. They might also try to compensate with postitive 
pressure (chewing) and that might hurt mom, especially if the ridges are 
sharp.
The baby needs to be checked out, particularly if the weight gain is not 
good. Some kids do well initially when mom's supply has some hormonal 
support, and then fall off rapidly when they have to keep the supply 
going themselves.
Catherine Watson Genna, IBCLC  NYC

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