Re: Chomping at the breast (update)

[Guest guest]

Update:

Baby had a 2nd laser frenectomy on Friday. Apparently it grew back. I did

recommend a re evaluation 3 weeks ago and she just went this last friday. Mom

reports baby seems to be chomping at the breast WORSE than before.

OH MY GOODNESS.

She is coming to see me tomorrow. This baby is now 10 weeks old. How can I help

him learn to use his tongue?

She is doing suck training with him as I showed her my first visit over a month

ago. Baby has had many chiro adjustments.

I really want to help her but am at a loss.

Liz Pevytoe RN, IBCLC

>

> I have a client that I need help with. Of course I have her permission to

share/ask for help.

>

> Hx of pain/injury from day 1. I saw her for the first time at 6 weeks after

baby had been lasered for a tongue tie 10 days prior but was still having pain.

She has had mastitis and plugged ducts from the start as well. She was also

diagnosed with thrush a few days prior to our appointment. Her supply was almost

non existent at our visit because she had been pumping and bottle feeding due to

extreme nipple injury and pain.

> Poor momma was completely depleted at our visit. Baby does not use his new

tongue properly and he chomps very aggressively while nursing. NO jaw thrust, up

and down hard chomping. Mom had thrush and deep nipple ridges that were inflamed

and " screamed " pain.

>

> Baby has had cranio sacral therapy and chiropractic adjustments and continues

to chomp. I also have instructed her on suck training for after frenulum

revision.

> Mom developed vasospasms, and were resolved until we attempted relatch this

week and now they have returned. She does not have vasospasms when pumping

though.

> Good news is supply has rebounded (with use of Motherlove) and nipples are

partially healed but everytime we attempt to relatch baby re-injures nipple with

the chomping, despite effective " looking " latch.

> Baby is using a wide mouth bottle, with paced bottle feedings and yes he

chomps on a bottle too. (We did finger feeding for a week too and there was no

improvement with chomping then as well.)

> This is not my first rodeo so to speak. I have been a LC since 2003 and I

have tried every trick possible (that has worked in the past) with this child to

no avail.

>

> Please help me help her, she has been through so much and I refuse to give up.

>

> Liz Pevytoe RN, IBCLC

>

> P.S. I am so glad to have you guys to discuss difficult cases with. It is such

a gift.

>

[Guest guest]

I don't know Liz, but I hope you find a good answer for her because I could use

a similar answer for someone else.

Lea

[Guest guest]

This baby may be uncomfortable.

Dr Larry Kotlow recommends not only oral massage and stretching post surgery but also pain medication if needed.

http://kiddsteeth.com/nursingbookaugfc2011.pdf

Ellen Simpson, IBCLC

Tampa FL

From: [mailto: ] On Behalf Of askthelactationconsultantSent: Sunday, August 12, 2012 9:39 PMTo: Subject: Re: Chomping at the breast (update)

Update: Baby had a 2nd laser frenectomy on Friday. Apparently it grew back. I did recommend a re evaluation 3 weeks ago and she just went this last friday. Mom reports baby seems to be chomping at the breast WORSE than before.OH MY GOODNESS.She is coming to see me tomorrow. This baby is now 10 weeks old. How can I help him learn to use his tongue?She is doing suck training with him as I showed her my first visit over a month ago. Baby has had many chiro adjustments.I really want to help her but am at a loss.Liz Pevytoe RN, IBCLC>

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