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Subject:
From:
Kershaw Jane <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 19 Aug 2008 09:47:11 -0500
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I don't understand the comment about "throwing out cleft-affected
babies".  Milk supply is the real issue.  If baby can get adequate
volume because mother has MORE than adequate supply, there is not an
issue.  Research has shown that suction IS an issue in supporting
supply, especially if there is low supply to start with or supply fades
because of failure to drain the breast to an adequate degree.  An
artificial baby may be necessary to keep supply above average so that
baby gets enough at the breast and if mom is programmed high, it is
possible for baby to get enough without supplementers.  BUT you can't
hide your head in the sand.  I have seen this happen too many times
where mother's supply is not protected in all sorts of situations.  It's
important to both be supportive and realistic, as has been discussed
many times on lactnet. 

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of [log in to unmask]
Sent: Monday, August 18, 2008 4:26 PM
Subject: Re: Cleft lip/palate and feeding problems

Oh, let's not throw every cleft-affected baby out with the bathwater!

I agree there are a number of babies who cannot create suction, but
depending on the size and/or position of the cleft, some babies manage
very well!

Some babies go for months not being able to nurse effectively, but
suddenly figure it out around 3-4 months. Breastmilk is incredibly
healing for these little guys. 

We have a number of cleft-affected babies around here (probably due to
environmental contamination) and quite a few of the moms
breastfeed/pump/breastmilk feed. When they are "sent out" for repair,
the surgeons are always amazed at the quality of their oral tissues and
how well the repairs go! 

I wish I could say, in deference to our dear Diane W - that the
formula-fed cleft-affected sweeties have more difficulties, but the
breastfed babies are so few and far between, the medical community
really has nothing with which to compare.

Best wishes,
Sam Doak

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