Kathy - just for my own education - can this not be repaired?  Are  
there implications for the child later in life?

Anita
ABA Counsellor, Australia

On 08/09/2009, at 5:47 AM, [log in to unmask] wrote:

> 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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