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Subject:	Re: severe pain, loudest clicking and possible air way compromise?
From:	Nikki Lee <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Mon, 7 Sep 2009 10:58:24 -0400
Content-Type:	text/plain
Parts/Attachments:	text/plain (28 lines)

Dear Friends:
Mention was made that the baby in question "does great with a bottle other
than milk coming out the sides of her mouth."

Maybe this baby can't sustain a seal? Maybe the clicking is reflective of
some other compensatory mechanism? What about measuring the baby's vital
signs during a feed, particularly respiratory rate? Has anyone listened to
the baby's neck during feeds?

My vote is for a full assessment by an infant feeding specialist.

warmly,

Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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