Case 3 (possible repeat thrush) - Try "laid back" positions if baby is
willing, have mom make sure she is supporting baby and breast
throughout feed, treat for bacterial infection and take probiotics.

Case 2 (premie now on bottle) try nipple shield and breast
compression, notice if baby has airway symptoms or difficulty pacing
feeds, experiment with positions where baby's airway is in best
position (extension) and/or mom's breast not obstructing in any way.

Case 1 ( palatal torus) Perhaps return for more bodywork for baby and
mom, both have been through quite alot. Assess/increase mom's supply
make sure it is adequate. Try laid back positions where baby is prone
on mom.

Laurie Wheeler RN MN IBCLC
Mississippi USA

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