I have permission to post this question from a patient I consulted on as an 
outpatient today.  Her baby is 8 weeks old and was born at 37 weeks.  She 
had trouble latching during the hospital stay, but went home both attempting 
breast and pumping.  The mother complains that baby is hurting her during the 
feeding and she can only stand to nurse once in the morning and once in the 
evening.  All other feeds are done via bottle with a standard nipple and mom is 
pumping.  Her anatomy is WNL, nipples mod large.  I performed a digital 
assessment prior to the latch and the baby was gaggy and mostly bit down on 
my gloved finger.  Baby was able to latch, I did hear swallows but baby never 
did get rhythmic.  Compression during feeding did not change the pattern and 
mom reports changing positions does not help either.  After the feed, baby 
took a standard nipple with bottle fine.  I did try the nuk nipple hoping to make 
the baby have to draw a little more than with the standard nipple.  I feel that 
maybe baby would benefit from a speech consult as well if this infact is truely 
a suck issue.  Is there anything else anyone could recommend before I would 
get speech involved?  Thank you all in advance as I am new to the outpatient 
world and am learning everyday.

Rachel RN IBCLC

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]