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From:
Kershaw Jane <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 22 Feb 2010 10:28:33 -0600
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I also thought her video ultrasounds showing that when baby's with t-t's were corrected, the baby actually took the breast more shallowly into the mouth, and that the issues with t-t were not caused by too shallow a latch but by the tongue compressing the nipple against the palate.  This restricts outflow of the milk as well as causing pain for mom. 

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Catherine Watson Genna, IBCLC
Sent: Saturday, February 20, 2010 12:31 PM
Subject: Re: Niipple shields-?longer tip

Actually babies latch more deeply without a nipple shield than with one if they have sufficient muscle tone and tongue mobility to do so. This was confirmed on one of Donna Geddes' recent studies. The nipple tip winds up much closer to the junction of the hard and soft palate without the shield than with it in the same infants, in other words. The context of the study was to examine sucking pressure changes with a nipple shield in infants who exerted excessive vacuum during breastfeeding, both during sucking pauses and active sucking (who Donna calls "high baseline" babies.) Using the nipple shield decreased pressures in 10 such infants (out of 10) but made the latch more shallow.

Catherine Watson Genna, BS, IBCLC NYC

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