Jody writes: Bubble palates can change, but hers did not. We made sure she had a weekly weight check to be sure she was gaining. ~~~ Agreed. Some babies whose palate has remained high/arched due to in utero tongue restriction, will broaden and flatten to normal after the release, and with ongoing feeding at breast, bodywork as needed etc. This can take time, and may be part of why many of the releases I see do not result in immediate change in terms of latch, milk transfer, mom's comfort etc. Other babies seem to have the high palate without a noticeable releasable restriction. They may have a deep Type 4, which I find the hardest assessment to make. The baby I saw yesterday, who was 4 ounces over birthweight at 7 weeks of age, had a high palate. High palates are "midline issues", and may occur in a constellation that includes tongue restriction, laryngomalacia, increased reflux issues etc. Baby had no releasable tissue I could palpate or see, though it may be hiding way back. Baby did have significant laryngomalacia which affected breastfeeding and feeding with an assistive device. Work of breathing seemed so high she would just sit and stare after eating, her color was good but she looked so out of energy. Considering her work load and her inability to feed adequately, she actually looked good developmentally. Strategies to conserve energy, feed with support keeping in mind baby's capabilities and needs, and an explanation of what was happening seemed to help this mom and grandmom a lot. Apparently no one had explained or noted the severe noises, fatigue, sternal retraction, etc that was so obvious to the family. I have no doubt that a lot of skin-to-skin had been really helpful in keeping this baby on track developmentally and mom was happy to hear that. Sometimes I would actually like to see a TT I can talk about, but some of these little ones have something like this which we cannot fix so "easily". Peace, Judy Judy LeVan Fram, PT, IBCLC, LLLL Brooklyn, NY, USA [log in to unmask] *********************************************** 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