Hi lacnetters,

I have mother's permission to post.

I have a question about bubble palates.  I know they usually come along with 
tongue ties, but I have one case which that does't seem to be the issue.  I have 
seen a fair number of type III and IV tongue ties, so I don't usually miss 
them.  Baby is 9 weeks old, was induced at 36w5d due to slow growth in utero.  
Baby was born at 4lbs 8oz.

Baby was mostly bottle fed from birth, mostly formula, some EBM.  Mother 
contacted when baby was 9 weeks old wanting to transition baby back to breast.  
Baby is currently 8lbs 12oz

Baby is willing to latch, but doesn't open mouth very wide. Upon digital exam 
palate appears to be high arched.  I think it is probably a bubble palate from 
the way it feels.

Mother has gone from bf 4 times in 24 hours to 12 times in 24 hours upon my 
encouragement to increase her milk supply.  Baby is also receiving some formula 
as suppliment as well as some EBM while her supply increases.

Mother has very sore (but not cracked yet) nipples.  I have suggested ways of 
improving latch, using EBM on nipples, and lanisoh cream.  I have passed on info 
about coconut oil, but haven't brought up the MediHoney yet since I am not sure 
if it is available around here.

Any other suggestions for nipple soreness with a bubble palate?  Will the latch 
improve as baby grows?

I have also showed her some tongue exercises to get baby to use her tongue 
properly, but I don't think parents have tried them yet.

Baby is very laid back, does't have a worried look, but does get frustrated at 
the breast (which is understandable after bottle feeding for her whole life).

Tania IBCLC
www.mothersnectar.ca



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