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Sat, 2 Sep 2006 22:52:12 EDT |
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Help needed here. Just got home (oh these hours are killing me) from a
consult with 5 day old baby with an unusual (for me) situation. Mom called me
because she was concerned with baby's low output and lots of clicking going on
at breast. When I observed feed, oh yes, lots of clicking indeed and then
when I looked at baby -- very crooked mouth and tongue. I have never really
seen this as pronounced as this one before. Of course she is clicking! When I
did weights, the intake was minimal though it had sounded like there was
swallowing -- there wasn't really. Was able to feed her some with periodontal
syringe, finger feeding was fair, and nipple shield helped, but marginally.
Cup feed did not work as her tongue was never in the right spot and milk went
everywhere. When I laid her on bed, she looked a little like she might have
Torticollis since she turned to left repeatedly. It is holiday weekend here
so I have encouraged them to supplement with syringe or tube with finger or
by bottle until they can see a doc on Tuesday. Midwives d/c them after birth
saying, "just keep an eye on her mouth but it probably from birth." Maybe
it is, but I cannot imagine how this will just miraculously correct itself.
Birth was fine. Also, baby spit up twice after feed and spit up was pinkish
and then brownish... Scared me some, but I am not sure. Mother's nipples were
not bleeding. Baby has lost 8% of birthweight. I have left them with a
scale and told them that baby must start gaining as of now, with supplementation
using EBM which mother has. Are we talking ENT? Cranial Sacral? Dysphasia
Clinic? Help me out here, please. Thanks, Ann
Ann Conlon-Smith, IBCLC
Triangle Lactation Consultants
_www.trianglelactation.com_ (http://www.trianglelactation.com/)
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