If breastfeeding still hurts yet it "looks okay," something is wrong.  In addition to ideas mentioned in other posts, I have found that looking at the oral muscles is imperative.  If the lips are weak, the tongue may compensate.  If one cheek muscle is weaker than the other, baby may only feed effectively on one side.  And on and on.   Possibly half of my clients have been told by another IBCLC that it "looks okay and hang in there."  That phrase is my pet peave.  The IBCLC knowledge base and credential is only one slice of the whole picture.  As professionals, we need teammates that are familiar with the other components that influence breastfeeding success.  Early and approriate referrals help moms, and show that in fact we (cumulative IBCLCs) know our stuff...and know when to refer, possibly to an IBCLC with more knowledge first, then refer outside our profession as needed.
Amy Peterson, BS, IBCLC
Idaho

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