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Thu, 23 Mar 2006 16:50:49 -0600 |
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Without seeing this baby, I would not really know how to advise you and
mom. But, I have found that it takes 3-4 treatments when baby is being
seen by a craniosacral therapist. Not just once. If baby is a jaw
clencher, mom will have pinched nipples when baby comes off the nipple.
Make sure baby is not doing a "fish lip" latch-on or the tight mouth
that looks like you blowing a kiss. Corner of mouth should be wide, like
a U not a V. Pumping should not hurt, but if she is on too small
flanges, it can. Mom might need bigger flanges, or a better pump
(meaning rental quality). She should turn the suction down if she has it
on max. A good latch on technique is to pull baby close to mom's breast
and put the nipple on his top lip. Wait until he opens wide and pull
baby in quickly but gently. If her hand is behind his neck, she can
achieve this easily. If baby's head rests on mom's arm, it will flop
around. Also, baby needs to have test weights done before and after
nursing with the proper baby scale to assess what he is taking in, both
with and without the nipple shield. Amounts of sucks before swallows is
not accurate enough to assess intake when baby is not gaining weight
properly at the breast alone. Best, Kathy Eng, BSW, IBCLC
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