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Lactation Information and Discussion

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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:
Thu, 1 Nov 2007 16:29:06 -0500
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Sounds like this baby has a slight tongue-tie. Fingerfeeding right 
before feeding at breast was great, that can often help the baby 
organize his movements and improve his breastfeeding.

I would be very concerned that it takes an hour for him to latch. I'd 
feed him more by fingerfeeding if he doesn't latch in 5 minutes, to make 
sure he gets enough food, and that mom has time to pump to keep her milk 
production up.

One thing that might help him latch: babies with partial tongue-ties 
tend to retract their tongues as they open their mouths wide. Sliding 
his chin a little farther away from the nipple might help him feel the 
breast with his tongue (as the breast gets "fatter" the farther back 
from the nipple we go).
Another cool trick is to dent the breast with a finger, right at the 
margin of the areola, and place baby's chin in the dent. This makes the 
areola area bulge out a little, and can help a partially tongue-tied 
baby to grab it.

A baby like this who is "almost" breastfeeding will probably improve as 
his mouth grows a little and he can get a bigger mouthful of breast. If 
not, he can be taken for evaluation of the tongue-tie. There are several 
docs in Israel that treat partial ones. Dr. Mira Leibovich just spent 
time with both Dr. Coryllos and Dr. Smillie here learning how to do the 
subtle ones.

Catherine Watson Genna, IBCLC  NYC

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