It's also possible that this child has a soft palate problem such as a submucousal cleft, or a weakness of the muscle that elevates the soft palate. With this condition, the baby has great difficulty developing negative intraoral pressure. Milk is also often lost through the nose during swallowing as the infant is unable to close off the nasopharynx completely. -- Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html