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Lactation Information and Discussion

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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 11 Jan 2010 15:54:25 -0500
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Not true that if a tt child could bf, the tt would not be the cause of 
any speech issues. Speech and feeding use different tongue movements. 
For bf, one needs to keep the anterior tongue grooved around the nipple 
to maintain a seal, drop the posterior tongue to enlarge the intraoral 
space, hold the bolus on the grooved, dropped posterior tongue until 
it's safe to swallow... For speech, one needs to lift the anterior 
tongue to the front of the top teeth, to the palate, lift other parts of 
the tongue to the roof of the mouth, and many other things that I'm no 
specialist in! If you are interested in speech and tongue-tie, Carmen 
Fernando has a great book on the topic (TT from Confusion to Clarity) 
for sale in the ILCA bookstore or on Amazon.com.

There seems to be wiggle room in both processes - in other words, you 
don't have to be perfect to be functional as a human being 
(fortunately), but just because one works doesn't mean both will. I have 
a bunch of little ones with Down syndrome and other genetic disorders in 
my practice who managed to breastfeed with some initial help (sometimes 
a lot of initial help) but are having much more difficulty with clear 
speech than they did with feeding.

Catherine Watson Genna, BS, IBCLC NYC

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