Julie writes:
Nothing calmed the baby down except the breast some of the time, baby eats
or fusses, baby was more calm with a tight wrap vs. skin to skin. I have never
seen such an unsettled baby. The only thing according to parents was that
the baby seems the calmest with the pacifier.
Hello all,
Silent for a long time here, but here's my 2 cents.
I had a thought or two, and then read the post with the extra info, and here
goes:
1. We now have this post-line with two different subject headings, so I used
both so anyone trying to reread this thread hopefully will be able to
2. I wonder if there is cranial nerve involvement. I have seen babies with
postbirth issues, and when you mentioned the bruise it just reinforced it. This
baby might really benefit from some craniosacral work. I have seen babies
with severe reflux, looking like anorexia it was so bad, screaming, etc. who
really saw some improvement. CST says that one of the important and most
impinge-able nerves acts in digestion. Our local CST who I work with a lot has seen
gastrointestinal issues in newborns with birth traumas of all kinds(
including iatrogenic).
3. Also, I always let the baby tell me what is working. If mom has nipples
and breasts that look like they should be able to compensate for the baby's
palate/tongue issues, and that baby is not successfully breastfeeding, I have to
look again. Baby may need a tongue eval and follow-up, may benefit from
CST, may benefit from reflux meds as well as, or phasing them out when CST work
allows.
4. I would want to see baby's intake#s. Sometimes a baby is fighting and
seems to be drowning and still not getting very much milk, their tongues or
oralmotor skills make normal flow seem overwhelming. Other times there really is
a huge amount of milk to cope with, which is another issue. It would help to
be able to tease our which of these is happening, or both!
Just a few thoughts to put into the mix. Working with that one mom whose
baby was refusing to eat in any way shape or form, and the constant screaming
and lack of sleep really showed me the devastation this wreaks on families. We
have some good local docs, and also some who "do not believe in reflux
problems" and tell the moms that "all babies cry" and maybe mom is just "nervous and
making feedings really tense for the baby." {If I could I would include a
drawing here of me with my hair standing on end!) If nothing else, you can
assure this mom that her baby is having trouble feeding, for real, and it is not
her fault, and there are things to be evaluated and tried.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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