Julie writes:

Nothing  calmed the baby down except the breast some of the time, baby eats 
or fusses,  baby was more calm with a tight wrap vs. skin to skin. I have never 
seen   such an unsettled baby. The only thing according to parents was that 
the baby  seems the calmest with the pacifier.


Hello all,
 
Silent for a long time here, but here's my 2 cents.
 
I had a thought or two, and then read the post with the extra info, and  here 
goes:
 
1. We now have this post-line with two different subject headings, so I  used 
both so anyone trying to reread this thread hopefully will be able to
 
2. I wonder if there is cranial nerve involvement. I have seen babies with  
postbirth issues, and when you mentioned the bruise it just reinforced it. This 
 baby might really benefit from some craniosacral work. I have seen babies 
with  severe reflux, looking like anorexia it was so bad, screaming, etc. who 
really  saw some improvement. CST says that one of the important and most 
impinge-able  nerves acts in digestion. Our local CST who I work with a lot has seen 
 gastrointestinal issues in newborns with birth traumas of all kinds( 
including  iatrogenic).
 
3. Also, I always let the baby tell me what is working. If mom has nipples  
and breasts that look like they should be able to compensate for the baby's  
palate/tongue issues, and that baby is not successfully breastfeeding, I have to 
 look again. Baby may need a tongue eval and follow-up, may benefit from  
CST,  may benefit from reflux meds as well as, or phasing them out when CST  work 
allows. 
 
4. I would want to see baby's intake#s. Sometimes a baby is fighting and  
seems to be drowning and still not getting very much milk, their tongues or  
oralmotor skills make normal flow seem overwhelming. Other times there really is  
a huge amount of milk to cope with, which is another issue. It would help  to 
be able to tease our which of these is happening, or both!
 
Just a few thoughts to put into the mix. Working with that one mom whose  
baby was refusing to eat in any way shape or form, and the constant screaming  
and lack of sleep really showed me the devastation this wreaks on families. We  
have some good local docs, and also some who "do not believe in reflux 
problems"  and tell the moms that "all babies cry" and maybe mom is just "nervous and 
 making feedings really tense for the baby." {If I could I would include a  
drawing here of me with my hair standing on end!) If nothing else, you can  
assure this mom that her baby is having trouble feeding, for real, and it is not  
her fault, and there are things to be evaluated and tried.
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA




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