Sometimes babies with very short lower jaws hold the tongue this way
(humped), because as the mandible shortens, the frenulum winds up
inserting closer and closer to the alveolar (gum) ridge.  If the tongue
tip is freer, the baby often holds the tongue tip elevated against the
palate; but if the tongue tip is tied down, the baby usually raises the
back of the tongue when they attempt to extend the tongue.  A nipple
shield can help prevent the baby from pushing mom's nipple out of his
mouth.  I recommend looking underneathe this little guy's tongue and
referring appropriately if you find a tongue-tie.

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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