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Subject:
From:
Carmela Baeza <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 10 Oct 2017 12:04:07 +0200
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H
​i Kira,


This baby has gone not only thru tongue release, but also thru several (how
many?) sessions of body work. So I would say, don´t look at the release as
being the cause (since in your opinion it was weel done), maybe look at the
body work.
In my clinical experience in referring babies for body work, some get
better, some don´t change and, sadly, some get worse. Specially if the
bodywork is FREQUENT. Precisely yesterday I had a work meeting with one of
the best physiotherapists/osteopaths in Madrid (Carmen Lillo). This woman
is very very experienced in bodywork for babies, and specially babies with
rbeastfeeding issues. SHe is one of those great professionals who combine
techniques (physio, osteo, craniosacral...), using what works for each
breastfeeding dyad.
She explained that when you work on a baby, sessions should be spaced at
least fifteen days, should be highly respectful of baby, and should give
baby time to integrate physical changes. And if baby is not better, they
should be stopped.

Unfortunately I see babies that do get worse, cases similar to yours, and I
believe it is because of an excess (too frequent or too vigorous) bodywork
(or maye inappropiate - if the provider does not have a good diagnosis, how
does he know what to treat...). If you refer a baby for bodywork suspecting
a torticollis and he gets worse... hummmm.

By this I do not mean to belittle the good outcomes babies have with
bodywork in many other cases, of course.


I would let this baby REST from interventions (i would certainly NOT ever
revise upper lip tie even if there was one), suggest baby wearing and work
on positioning for mom´s maximum comfort. If baby is efecgive and painless
only on one breast, let him breastfeed there and give mom the option of
pumping the other for some/all feeds if she needs a break from nipple pain
and positioning is not enough.

Warmly from Madrid,

Kika

-- 
Dra. Carmela Baeza
Médico de Familia
Consultora Certificada en Lactancia Materna IBCLC
www.centroraices.com
http://www.facebook.com/Consulta.Lactancia.Raices
<http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>

Autora de "Amar con los Brazos Abiertos"
http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html

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