Dear Dr Neuman

I too with many years at the post parttum bedside have seen babies turn blue
while at the breast. It can occur when there is a lot of breast tissue and a
baby who  has stopped nursing efficientlly.   The oral motor skill has  shut
down  and the infant may be sucking (not sucking ) infant  has lost the
momentum and posture of nursing.
Like the mother baby is sleepy.  The baby lists forward and the sleepy
unaware mother  does not shift the baby as a more attentive mother might.  I
have seen it at least six times.  Intense nasal congestion and the baby does
not let go to mouth breath is another instance.   Also have seen babie's
oral nasal structure with lips so big that when flanged the babies own lips
occlude the nares.  All the more reason that new tired mothers need
encouragement support and quiet observation during these early feeding
opportunities.  Especially if they have asked for assistance and are showing
such concerns.(Long career in a hospital with 25-30 del/daily)    Beadie
Cambardella RN IBCLC FACCE
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Date: Friday, September 25, 1998 11:39 AM
Subject: LACTNET Digest - 25 Sep 1998 - Special issue