On Jan 21, 2007, at 12:02 AM, LACTNET automatic digest system wrote:

> I have an unusual circumstance with a baby who came into my office
> yesterday. Would like to have your collective wisdom on this one. This
> little guy is 3 1/2 weeks old and is 7#3.6 oz. Birth weight was 7#0  
> oz. He
> looks fairly scrawney and is discontent in a short time after  
> feeding . Test
> weigh showed 2 oz intake total on both breasts, probably in about  
> an hour of
> time.  Mom has had sore nipples from the start. He has calloused  
> lips, not
> blisters, callouses which are thick and white on the entire top and  
> bottom
> lip going from corner to corner.  The bottow lip is not as thick  
> looking,
> but still white. At the breast his chin excursions are extremely  
> long and
> rapid and you can see the lips going up and down against the  
> breast. Sucking
> on my finger, the suck feels relatively normal.


Judy,
Are you confident this pair have thrush, b/c you do not mention  
symptoms of such, but mom and babe are being treated accordingly.  
Have you evaluated this babe for tongue-tie? If this is definately  
not the cause, then my first step (other than those you have taken to  
protect/increase supply and address pain) would be a cranial-sacral  
therapist. If it is a tongue-tie, my second step, after the clipping,  
would be the CST.
Jennifer Tow, IBCLC, CT, USA

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