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Kathy - just for my own education - can this not be repaired? Are
there implications for the child later in life?
Anita
ABA Counsellor, Australia
On 08/09/2009, at 5:47 AM, [log in to unmask] wrote:
> Re loud clicking while breastfeeding: Someone should assess this
> baby for a
> sub-mucosal cleft. Babies that have this make a "Maggie Simpson on a
> pacifier" noise--learned this at an ILCA conference in Acapulco,
> or maybe
> Chicago. Anyway, that's exactly how it was described and I've
> since seen it. What
> you or pedi will see when looking in the mouth with a light is
> either an
> absent uvula or a v cleft where the uvula should be. I don't
> believe there
> is a real fix for this. These babies have a good mouth seal on the
> breast
> but lose suction because of the weakness of the soft palate. Some
> babies can
> nurse ok with this--others have more difficulties. Regardless of
> what this
> baby's issue is if the nipple shield is making feeding more
> comfortable for
> this little one then I would use it. And I agree with Nicki--this
> baby
> needs a full assessment by a specialist or pedi ENT.
>
> Now I'm remembering that one of my colleagues when I worked at
> Stanford
> picked this up on a baby and I think ENT did a procedure. I could
> get more
> info re procedure if anyone wants it. And what alerted her was the
> "Maggie
> Simpson clicking noise.
>
> Kathy Boggs, RN, IBCLC
>
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