And three anomalies on the outside make it likely that there is a major 
one inside (cardiac, vascular, gi, etc). I forget the exact numbers the 
study found, but there was a significantly higher likelihood of major 
anomalies in children with three minor external anomalies versus one or two.

Catherine Watson Genna BS, IBCLC  NYC  www.cwgenna.com

On 7/5/2016 8:42 PM, Virginia Thorley wrote:
> Hi Lactnetters,
>
> Once again I'd like to share the comment of a now-retired colleague on the
> matter of infant physiological anomalies: "If you see one congenital
> anomaly, look for three." The infant may be found to have only one, but my
> friend's rule is a good one. For instance, it may help identify a syndrome
> or sequence, so that appropriate referrals can happen, as some of us see
> from time to time. Many of us have seen infants with significant
> tongue-ties that are impacting on breastfeeding, but until Diane
> Wiessinger's 1995 case report in JHL, we didn't know to look for very light
> upper lips as well. In this spirit, I share my friend's words.
>
> Because of pressure of various commitments, I'm going 'Lactnet nomail' for
> a while. I shall be back! While nomail, I can be contacted privately.
>
> It is good to see that the Lactnet culture of politeness and respect
> continues, thanks to the efforts of the list mothers and participants.
> There continues to be sharing of links to resources, sharing of clinical
> experience, and shared problem-solving for unusual or difficult situations.
>
> Virginia
>
> Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA
> Private Practice Lactation Consultant (Ipswich and Brisbane)
> Historian of Medicine
> email: [log in to unmask]
> Website: www.virginiathorley.com
>
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