For Pam's mom with a high palate, I would send this baby for CST. The 
form and position of the palate may well be genetic, but it also may 
not. I have seen amazing shifts in palate structure with CST.



As to June's baby with squashed nipples:

First, I think IBCLCs need to learn to evaluate tongue-tie, b/c most 
peds cannot. It is function more than visual assessment that we need to 
rely upon. I have had scores of babies with tongue-tie where moms was 
told there was none. When I was able to explain to the mom the ped's 
lack of training in eval and treatment and mom was willing to get a 
second opinion, the clipping could be done. OTOH, this babe may not 
have a tt, in which case I would again refer for CST. (What was the 
birth like for this babe?--it is the baby's experience of birth that 
determines his ability to feed, not mom's). I find the three solutions 
for eliminating pain in almost all cases are fix the latch, clip a 
tongue-tie and/or refer for CST. I used to find that fixing the latch 
solved more problems than it does today--as births have become more 
brutally interventive, babies cannot feed well, just b/c we position 
them well.



Jennifer Tow, IBCLC, CT, USA

Intuitive Parenting Network LLC

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