Hi All,
Can extra long and very large nipple fill up the oral cavity so much that it
inhibits milk flow?

I have a client with her second baby who says she is had the same problem
with her first baby 10 years ago. When I observed this baby, now 5 days old,
he does a up and down chew motion at the breast and only goes into long
draws when I supplement at the breast.  Mom's breast are firm, not engorged
and do leak, but I get no swallowing at the breast.  Mom is experiencing
pain with latchon which stops when I applied pressure to the baby's chin.
Mom has very long and large nipple.  This baby is full term and normal
weight.  Any thoughts on size of nipple causing the problem?

Thanks,
Crystal Stearns RNC, MS, IBCLC
Mercy Memorial Health Center
Ardmore, OK  73401

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