What about trying switch nursing?  I have seen this happen - that babies are chewing and let-down stops it temporarily.  When let-down abates, babies clamp down on the areola.  Try moving the baby after the first let-down and repeat.  Laid-back positioning ensuring that chin is forward to allow as much tongue extension as possible, or kneeling prone posture with mom on her side and baby nursing from the top breast might help.



-----Original Message-----

From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Lindy Fisher

Sent: Tuesday, May 05, 2015 8:32 AM

Subject: tight jaw, "clamping"



Briefly: I am working with a mom whose baby has a very tight latch, which the mom describes as "teething" or chewing at her breast, which is very painful. Baby is about three weeks old, and had a tongue tie clipped as well as CBT about a week ago. Mom reports that neither of these made any difference. Baby has been given bottles since birth but also nurses at the breast as much as mom can tolerate it due to pain [baby is still very willing to take the breast]. We have worked on latch and various positions, as well as ways to supplement, when to supplement, etc. Using the "laid back" position, baby latches on nicely but soon clamps down very tightly on mom's breast. Mom does not like to take the baby off during feedings to re-latch, because she says doing this is so painful. I would love any words of wisdom. Thank you.





Lindy Fisher, IBCLC, MSW

New Jersey





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