Have you considered CST or evaluation by a pediatric chiropractor?
Sometimes baby gets his jaw tweaked on the way out and it hurts to open wide
and even feed from a bottle, let alone a (comparatively) huge breast.  Be
sure his chin is pressed firmly against the areola when positioned, to
hopefully elicit the gape reflex (although at 9w it may be getting more
muted).  Vacuum extraction can also cause the palate to lift, per a local
pediatric chiropractor (the thought just makes me shudder but it makes
sense).  Hopefully with upcoming growth spurts, baby's jaw can get large
enough to get latched better w/o damaging mom.  Also he might do better if
he has an appetizer away from the breast instead of putting the hungry baby
to breast; he'll have more patience and stamina.

HTH,

Debbie Gillespie, IBCLC, LLLL
Sunny Tempe, AZ



On Mon, Feb 14, 2011 at 7:22 AM, Tania Archbold <[log in to unmask]>wrote:

> Hi lacnetters,
>
> I have mother's permission to post.
>
> I have a question about bubble palates.  I know they usually come along
> with
> tongue ties, but I have one case which that does't seem to be the issue.  I
> have
> seen a fair number of type III and IV tongue ties, so I don't usually miss
> them.  Baby is 9 weeks old, was induced at 36w5d due to slow growth in
> utero.
> Baby was born at 4lbs 8oz.
>
> Baby was mostly bottle fed from birth, mostly formula, some EBM.  Mother
> contacted when baby was 9 weeks old wanting to transition baby back to
> breast.
> Baby is currently 8lbs 12oz
>
> Baby is willing to latch, but doesn't open mouth very wide. Upon digital
> exam
> palate appears to be high arched.  I think it is probably a bubble palate
> from
> the way it feels.
>
> Mother has gone from bf 4 times in 24 hours to 12 times in 24 hours upon my
> encouragement to increase her milk supply.  Baby is also receiving some
> formula
> as suppliment as well as some EBM while her supply increases.
>
> Mother has very sore (but not cracked yet) nipples.  I have suggested ways
> of
> improving latch, using EBM on nipples, and lanisoh cream.  I have passed on
> info
> about coconut oil, but haven't brought up the MediHoney yet since I am not
> sure
> if it is available around here.
>
> Any other suggestions for nipple soreness with a bubble palate?  Will the
> latch
> improve as baby grows?
>
> I have also showed her some tongue exercises to get baby to use her tongue
> properly, but I don't think parents have tried them yet.
>
> Baby is very laid back, does't have a worried look, but does get frustrated
> at
> the breast (which is understandable after bottle feeding for her whole
> life).
>
> Tania IBCLC
> www.mothersnectar.ca
>

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