Also helpful for asymmetry is carrying baby in the sling, buddha style with chin forward.  I like the slings with padding as they help hold the head more symmetrically.  And with taking a risk of somebody not liking what I'm saying, letting the baby sit very forward with a  "gasp" pacifier that is completely round on the tip and a little flared where it joins the back to encourage forward tongue placement and increasing strength of the suck with chin forward and lips flanged. 

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Nina Berry
Sent: Monday, September 07, 2009 6:22 PM
Subject: Re: Cracked nipple!

Naznin said, "Baby latches on perfectly."
Actually, the baby does not latch on perfectly.  If he did, he would not be damaging mum's nipple.  Only mothers know if babies are well attached.  If the baby is hurting mummy, then the baby is not perfectly attached.
Have you tried baby-led attachment or breast-crawl?  Have you investigated the possibility of torticollis or of a positional turn/asymmetric muscle tightness owing to intrauterine position or birth trauma?  You can assess this by placing naked baby on his belly.  He should bring both hands up under his chest and push up off the floor or table.  Other evidence of a positional turn include a banana-shaped spine, unwillingness to turn his head to one side (or a strong preference for the other).  Treatment is much the same as assessment - tummy time.  Tummy time can be more pleasant if it is tummy time on mummy's chest rather than on the floor.
Some mothers find CST or physiotherapy helpful.
Cheers
Nina Berry
Australia

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