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Date: | Mon, 17 Feb 2014 10:26:08 +0000 |
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Tricia
This certainly sounds like a difficult combination of
circumstances. Bubble palates can make latching especially difficult
if the mother has short/flat nipples. If there are still scanty
quantities of colostrum then I'd continue hand-expressing (often!)
and feeding by spoon/syringe while continuing calming techniques for
the baby and further efforts at latching. Specifically, if the
areola remains stretchy, you could perhaps show the mother how to
latch using the tea-cup technique, ie by "putting" the nipple right
up into the bubble palate where the infant can feel it and then
letting go of the "handle" of areolar skin you've created when you
feel the tug that tells you the baby has latched and drawn in the
nipple/areolar tissue... However, if the mother's milk has started
coming in in any quantity, then I'd consider using a nipple shield to
assist latching and keep baby on the breast - perhaps using the
pacifier to calm the baby while getting him into position, then
whipping it out and substituting with the shield... You can always
plan to wean the baby off the shield when he's realized that
starvation is not imminent, os obtaining nice large quantities of
milk and has calmed down a bit - anywhere from a few hours to a few
weeks, IME...
Good luck in this challenging situation and keep us posted!
Pamela Morrison IBCLC
Rustington, England
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Date: Sun, 16 Feb 2014 09:19:44 -0800
From: Tricia Shamblin <[log in to unmask]>
Subject: help for mother with infant with bubble palate/fibrocystic
breasts/flat nipples
Hello Lactnetters, I have a case that I'm really having trouble with
and hoping you can help me. I have a mother who is having a great
deal of difficulty with breastfeeding and wondering if anyone has any
thoughts or suggestions. This is a very nice couple who had planned a
homebirth with their first baby, but then decided to switch to a
hospital birth due to mother's having thromocytopenia.... ...... I've
only ever seen him get on for a minute, then lose suction and pull
away distressed. Now he's very distressed and arches away whenever we
bring him near the breast. I'm finding little info on high/bubble
palates, and very few suggestions other than getting the breast
deeply into the mouth. Any other suggestions would be welcome.
Parents are very committed to breastfeeding. Getting the breast in
deeply may be especially problematic because mother has small,
fibrocystic breasts. So to recap: High bubble palate Fibrocystic
breasts Rusty pipe syndrome Flat nipples Any thoughts or suggestions
would be greatly appreciated. Thank you so much. Tricia Shamblin, Rn, IBCLC
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