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Subject:
From:
Lisa Marasco IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 8 Nov 2002 23:36:10 -0800
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>> There were a few compressions, with breath holding then the baby
would have pause with rapid breaths to catch up.  Then they would
encourage more intake and then the baby gagged and retracted and
breathing/crying with strider. This was so difficult to watch.<<

This sure sounds like a good description of laryngomalacia. A baby with
a tongue-tie will often form a bubble-palate in utero. They may also end
up with the bunched tongue sort of slumped into the back of the oral
cavity, especially when the head is flexed inward. Such a baby will
often try to hyperextend his head to open the airway, while we are often
trying to get baby to *tuck* his chin inward for the cradle hold, which
for a baby with a compromised airway may simply exacerbate the whole
situation. Exacerbated or not, the babe cannot suck and breathe well
together and will hold his breath while he tries to desperately take in
milk, gasping for air between swallowing bursts. The inward breaths
result in stridor--  Catherine Watson-Genna has written eloquently on
this topic.

I will be interested to see if this diagnosis ends up being made.

Lisa Marasco

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