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Date: | Fri, 20 Jun 2008 09:34:16 -0400 |
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I have permission to post on a client I am working with. I believe that this 3 wk old baby
has a type 3 or 4 tongue tie. Mom does not have pain but did in the early days. I just
began working with them this week. Baby can briefly extend tongue slightly past gums but
rarely does and when she is crying with mouth open her tongue stays on the floor of her
mouth. I couldn't really lift the tongue to even visualize the frenulum. I would expect her
palate to be higher and domed but it is not. It is actually relatively shallow. Even when I
help to get a deeper latch baby doesn't stay open wide and seems to tuck bottom lip in and
overly-flange the top lip. She is pretty content to keep hanging out and breastfeeding like
this but has very small milk transfer and is fussy when not on the breast. She did go to the
ENT clinic here and they said there was no problem or at least nothing for them to do. I
have read Catherine Genna Watson's book. I guess my question is really about the fact that
her palate does not match what I am seeing of her tongue movement. Does anyone have
any comments about this case?
Amy Slotten, RN, IBCLC
Ann Arbor, MI
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