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Lactation Information and Discussion

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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 23 Jun 2007 19:57:58 -0400
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I think occupational and speech therapists should both see this baby, 
perhaps physical therapist as well. If you can get the baby referred for 
early intervention, they can all take a look at the baby as part of the 
evaluation.

Tongue thrust to this degree is not normal, and can be associated with 
neurological deficits. That and the posturing the baby is doing could be 
significant. I imagine you already checked for torticollis... If baby 
seems to be floppy, that would increase your index of suspicion for a 
neurological issue.

The last baby I had in my practice that used strange body positioning 
like this turned out to have a genetic disorder that caused oral motor 
and neurological dysfunction.

One thing I might try is to pre-fill the shield with a little milk using 
a curved tip syringe (the tip fits right in the holes) to see if a more 
functional sucking pattern can be elicited. Using an SNS or Lact-Aid 
under the shield might also help. Anything that gives this baby a reward 
for trying to make the breast work can result in her getting it right by 
trial and error.

Keep us posted.
Catherine Watson Genna, IBCLC  NYC

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