Subject: | |
From: | |
Reply To: | |
Date: | Sat, 18 Feb 2006 11:51:18 -0600 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
There is something going on with the baby that makes him/her unable to
latch appropriately to one side. When normal things don't work, it is
time to look at baby's physical anatomy. It sounds like one nipple is
fine, the other is constantly abraded or damaged. The authors of The
Breastfeeding Atlas say nipple blebs are caused by damage to the nipple
while nursing, like a callus that forms over a sore area. The other clue
is that the nipple comes out looking like a new lipstick. How wide is
the baby's gape when he/she latches to this side? Do you see a wide U at
the corner of the mouth or do you see a tight V? The description of the
nipple shaped like a new lipstick makes me think baby is clamping or
clenching, or tip sucking on this side. I would strongly suggest to this
mother that she get the baby to either a SLP or OT or a CST for
assessment and treatment. See what is going on with the baby's jaw,
mouth, and palate. I would also try latching the baby on in the exact
same position as you do for the "good" side so that the neck and jaw are
in the same position for both breasts to see if baby's neck or facial
positioning makes a difference. In cradle hold this is done by flipping
the baby so that the same ear is down for both breasts, but on the "bad"
side the baby's body goes away from mom's chest, legs past the armpit,
resting on pillows. Like what we would do for a baby with an ear
infection, head bruising, or broken clavicle who refuses to nurse on one
side due to pain. And moms can certainly nurse one sided if they need
to. The second question is what kind of pump is mom using on this side
and does she have big enough flanges?
Kathy Eng, BSW, IBCLC
Houston, TX, USA
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [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(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
|
|