Re loud clicking while breastfeeding: Someone should assess this baby for a 
 sub-mucosal cleft. Babies that have this make a "Maggie Simpson on a 
pacifier"  noise--learned this at an ILCA conference in Acapulco, or maybe 
Chicago. Anyway,  that's exactly how it was described and I've since seen it. What 
you or pedi  will see when looking in the mouth with a light is either an 
absent uvula or a v  cleft where the uvula should be. I don't believe there 
is a real fix for this.  These babies have a good mouth seal on the breast 
but lose suction because of  the weakness of the soft palate. Some babies can 
nurse ok with this--others have  more difficulties. Regardless of what this 
baby's issue is if the nipple shield  is making feeding more comfortable for 
this little one then I would use it. And  I agree with Nicki--this baby 
needs a full assessment by a specialist or pedi  ENT.
 
Now I'm remembering that one of my colleagues when I worked at Stanford  
picked this up on a baby and I think ENT did a procedure. I could get more  
info re procedure if anyone wants it.  And what alerted her was the "Maggie  
Simpson clicking noise.
 
Kathy Boggs, RN, IBCLC

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