Another question to the Wise Holders of Breastfeeding Knowledge...
 
My client has no pain.  Breastfeeding is comfortable and baby is  
transferring over 3 ounces within 10 minutes.  (Oversupply may be an issue,  but last 
baby had weight gain issues and low milk supply.  Don't think mom  wants to 
tamper with milk supply.)  During the feeding, the baby repeatedly  'pops' off.  
Pop is the sound you hear too.  Smacks the  tongue....which has no frenulum 
issues and is within normal range for  length.  Poor baby is extremely fussy after 
all the feedings because of  this constant air gulping due to not staying 
sealed.  Mom says she can  'hear' the bubbles while the baby gulps.  

Mom did try expressing to  see if bottle feeding would be easier for baby, 
but no. Popped off and on  bottle, made some 'air swallowing' (mom's 
description) sound and still very  uncomfortable after feeding.
 
Mom is feeling overwhelmed with this unable to settle baby who is gaining  
like a champ.  When I first saw her a couple of weeks ago, I noted the baby  did 
seem to be trying to control for flow and her mer is not overwhelming, but  
is strong.  She is very large breasted so feeding on her back won't be very  
comfortable for her or the infant.  
 
Other than the typical tongue exercises mentioned all the time on Lactnet  
and in the BAB, is there any other things that may encourage the baby to stay  
sealed at the breast?  I did mention she may want to ask her pediatrician  for 
a referral to a specialist, but in our area, well, nos so sure we even know  
one who is 'breastfeeding knowledgeable'..   I guess she could work on  the 
suck and the seal getting right and I could worry about transferring that  
behavior to the breast if a specialist could only work with the bottles.
 
Looking for ideas...
 
Thanks,
Pam MazzellaDiBosco, IBCLC, RLC
 
PS  On an unrelated topic:  Any idea why I am seeing so many  higher palates 
with an odd little bubble area right behind the ridge?   Nipples of late have 
been enjoying themselves in that spot and poor mommies have  very damaged 
nipples.  Thanks to the higher palate and the little spot we  have to work very 
hard to get even more breast in.  Why did I see 5 of  those this month? 

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