Loraine writes:

I am  unconvinced that if feeding is going ok upon discharge from hospital 
that all  is necessarily well. Research in this area would be  great.


~~~
So true. Many babies who seem to feeding "ok" upon discharge will start to  
show issues with their abilities to feed well over the first weeks. Often  
somewhere between the 2-4 week, if not even sooner, milk supply begins to  
downregulate around the baby's skills, early fullness stops the "surfing"  
phenomenon that some babies with these issues rely on, baby's need for food  
increases, and if moms are told, as some are, that breastfeeding always  
hurts in the first months ( scandalous how often I still hear this), a whole  
cascade of issues, or even a downward vortex overwhelms the whole family: 
pain,  nipple wounds, crying, unhappy baby, protracted or ineffective/brief 
feeds  or feeding attempts, poor weight gain, lack of normal sleep patterns, low 
milk  supply, etc, the whole family gets sucked into this vortex. I don't 
think  babies who can latch fairly and seem to "look good" and seem to be 
moving milk  appropriately in the first week have to get all frenulums released 
just because  one is visible, but certainly they need very close follow-up 
for any of the  vortex issues popping up.
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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