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Date: | Wed, 16 Jan 2008 10:39:57 EST |
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I would bet that this mom is still having trouble, and not realizing it,
with obtaining a deep enough latch for baby. I've often found that I can assist
mom and baby to obtain a deep latch, but then need to have mom help baby
latch without my assistance, a couple of times before the visit is over, so that
mom really knows how to do it. I see moms who continue having difficulty
because they put their breast in baby's mouth rather than bring baby to breast
with head somewhat extended so chin first occurs with latch. Then poor baby
is left trying to mouth the breast without that stimulation further back on
his palate and wags his head back and forth in frustration. I tell moms it's
like trying to get a big fully inflated balloon in ones mouth and that's next
to impossible. Breast shaping, as in breast sandwich technique, can help
baby to get a mouthful more readily. And, of course, it always seems that
babies who have trouble latching who need deep stimulation, have moms with large,
soft breasts and flattish nipples or moms whose breasts are very taut and
this lack of elasticity makes bringing the breast in more difficult.
So, I'd suggest you see mom again and try to have her practice while with
you, even if it takes a couple of feeds for mom and baby to get it. Depending
on baby's and moms frustration levels, a shield could be a useful temporary
tool if latching without doesn't happen consistently. Often baby needs a few
consecutive breastfeeds before he realizes and is assured that breastfeeding
will give him what he needs. This mom could also try bringing baby to breast
before he's fully awake, walking or just standing up so her breast falls
naturally and baby is underneath; I've had these methods work when the cycle of
stress of latching needs to be broken. Making sure there is no tongue
restriction or other anatomical difficulties is important, too.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
When I did a home visit and observed what baby was doing it appears he is
getting frustrated by trying to form the nipple enough to get it to hit that
sweet spot to stimulate his sucking reflex. Perhaps the nipples
are too soft or short for him? I helped mom reposition the baby and he
fussed hardly at all at latch for that feeding, but in follow up calls she said
it was still just as difficult for them at most feedings even with new
positioning (tried to use nose to nipple and get real deep latch, she was
nursing in football hold and we tried cross-cradle).
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