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LACTNET Archives

Lactation Information and Discussion

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Sender:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 4 Aug 2007 13:01:50 -0400
Reply-To:
Lactation Information and Discussion <[log in to unmask]>
Subject:
Re: Baby with high palate
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From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
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At the risk of sounding like a broken record:

The tongue shapes the palate. If the palate is abnormal, tongue 
movements are likely abnormal. So check the tongue (particularly for 
tongue tie or other conditions restricting tongue movement).

The clicking adds to the probability that the baby is tongue-tied. What 
seems to happen is this: The front of the tongue is unable to remain 
sealed to the breast when the back of the tongue drops to create 
negative pressure in the back of the mouth around the nipple. The 
frenulum pulls the tongue down, creating the clicking sound. (You can 
feel this happening on a finger if you fingerfeed the baby, it is even 
more likely on the breast because the baby has it's mouth more open on 
the breast, which is more of a challenge to tongue elevation).

I'd encourage mom to see a different LC.
Catherine Watson Genna, IBCLC  NYC

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