Jessica wrote:

"2nd baby, the first one we never got to breastfeed- she just would never 
latch for longer than a minute or two.  The mom pumped for 12 months."

Was this baby ever evaluated for posterior TT? Also, when I see similar problems in babies born of 
the same mom, I remember that both babies grew in the same uterus. Often, the shape of mom's uterus 
or the structure of her pelvis means her babies are similarly restricted in utero. Those babies very often
need CST in spite of a hospital-"normal" birth or even a homebirth.

(snip)

"She tried to latch baby on, and the baby did nothing.  There were miniscule 
flutter sucks, but no milk transfer.  The mom was able to pump out 20-25 cc 
after each nursing session, so she had some milk although the breasts were 
quite flaccid."

Did you try a nipple shield? With the tube under neath it if needed?


"I tried the baby with a FF tube with some of her pumped milk to see if I 
could elicit a good rhythmic suck. The baby did beautifully once the tube 
was inserted.  Long draws, good jaw movement, etc.  The minute the tube was 
removed, he stopped."

So, no stimulus to suckle w/o the tube? What is the shape of the palate? Does baby draw a finger in when
offered? 

"I left her with instructions to feed with the tube, use as much breast milk 
as she could get, formula as needed, and of course pumping.  Now it is 3 
days later.  Baby still will do nothing without the tube.  Mom is afraid he 
is getting addicted to it, and will never nurse without it.  On the other 
hand, he is still not transferring milk without it."

Again either TT or restriction creating an inability to extend come to mind. CST. 

"On her discharge papers the doc wrote minor head lag.  I felt that his neck 
muscles were quite weak."

CST (my preference is always a ped chiropractor--do not know who you have there--PT who does CST, 
DO?)--should have been immediate.




Jennifer Tow, IBCLC, CT, USA
Intuitive Parenting Network LLC

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome