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Sat, 4 Aug 2007 21:50:51 -0500 |
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Anne, it is very very important that a baby with a recessed chin be
latched on properly as the chin must be smooshed into the breast and the
nose tipped out. I love the nipple to nose technique and I find that
babies will open wider using that technique and getting an nice
asymetrical latch gets that chin in the right place. What this means is
that you position baby right up to mom's nipple on the baby's top lip or
above it. The chin and face are up close on the breast or touching the
breast. The nipple on the top lip tells baby to open wide, they tip
their heads back and come on with a wide gape. Baby may need her head
tipped just a tiny bit back like when you drink a bottle of water. This
positions the chin into the breast tissue and the nose is tipped out.
Make sure the mouth is wide open on the breast like a yawn. If the
corners of the lips are meeting or tight, baby is on the nipple only and
not taking in enough areola. Many babies try to tip suck on a longer
nipple if latched incorrectly. Also, more areola tissue should be near
the bottom lip and less tissue under the top lip to position the chin
right. It is more helpful to position mom's hand to support baby's neck
and shoulders instead of supported by the crook of the arm or forearm.
Football hold or clutch hold works well. And sometimes a 24 mm Medela
Nipple Shield is big enough to sort of smoosh mom's nipple into it to
make it smaller until baby grows. But I have had such good luck with
latching better with the nipple on the top lip and waiting for baby to
open wide that I rarely need to use anything else. The "nipple sandwich"
technique where mom compresses her areola just above where baby should
put her lips may work also to get more into baby's mouth (combined with
an asymetrical latch). Good luck to this mom, Kathy Eng, BSW, IBCLC
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