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Lactation Information and Discussion

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Subject:
From:
"Gretchen Andrews, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 16 Jun 1998 00:52:44 EDT
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Would like to get some feedback from your collective wisdom on a baby and mom
I'm working with.  Saw them both the first time last week.  Mother is at her
wits end, says baby won't feed and she has spent his whole life trying to get
food into him.  She has been partially successful using a cup.  He was eating
solids from 3 months (mom says that's the norm in her native Norway) After
doing an oral exam I saw one of the tightest frenulums I've ever seen.  Baby
had less than 1 cm lift and frenulum was attached to the tip of his tongue -
no wonder breastfeeding had been less than thrilling.  Mom had breastfed
previous son 14 yrs ago and wondered what she was doing wrong all this time.
After talking with the mom the CNM I work with clipped the frenulum.  The baby
was none too happy about this, and is extremely defensive orally anyhow.  We
got him calmed down and tried to get him to breast, but he just nibbled and
nuzzled - no latch. I showed the mom how to teach him to stick out his tongue
and how to use her finger to help the little guy learn to draw out his tongue
since he now has some options in lieu of holding it up in back. This mom has
been very aggressive about feeding this baby.  He weighs 17 lbs at 5 1/2
months and eating isn't his favorite activity.  Mom, bless her heart, has been
pumping all along to keep up with his requirements.  What I would like from
you great folks are some ideas on how to make this little guy a bit less
defensive orally. I'm going to try to get an OT from the local hospital to
give me some ideas also.  I just would love for this incredibly tenacious mom
to have some enjoyment with her baby at breast - not to mention for the baby
too!  She comes in Wedn. and I'm going to try fingerfeeding with a H***ker
finger feeder and see how he does.  Help?! TIA

Gretchen Andrews, BA, IBCLC, LLLL
private practice, Redlands, CA

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