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Date: | Thu, 6 Jun 1996 15:14:15 -0400 |
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>>We've reviewed Marmet's Suck Training, significant portions of Riordan and
Auerbach, and the Neonatal Motor Assessment Scale. Any words of wisdom?<<
You might consider doing a suck assessment with flow--- fingerfeed the baby,
and use a periodontal syringe or SNS to give milk at the same time and
compare sounds, appearance, feel. I have also had one of these babies who
"looked" great from afar and even made convincing swallowing sounds, but
every time I tried to "peak" at the latch by the lips, the nipple slid right
out. This baby was a great actor, but never was drawing the breast back, but
rather was kicking it to the front of the mouth only. When I did a suck
assessment like this, the baby's tongue pressed my finger upward against the
palate and I started to feel a dull ache within seconds. Hard to discern
these things sometimes without feeling them!
-Lisa Marasco, LLLL, IBCLC
Santa Maria, CA
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