Please, please remember that the tongue movements shape the palate.  THe
problem with an infant with a high arched palate is not so much the
palate, but that the tongue movements are restricted, and the tongue
movements should be addressed.

A really extreme asymmetrical latch is helpful in most cases to maximize
tongue contact with the breast, but the baby should also be examined for
a subtle but problematic tongue tie.  If mom is getting cracks, baby is
compressing the nipple, which means the latch is shallow and the tongue
movements may be abnormal as well.

As for the herpes, the baby is at the age of maximum vulnerability to
this organism.  Just because it erupted on mom's lip first does not
necessarily mean that the virus is HSV-1, it could also be HSV-2.  Baby
should be watched carefully.  The current medical advice is to prevent
contact between baby and any herpes lesions, since they continue to shed
virus until they are crusted over.  Mom can pump the affected breast to
maintain supply.

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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