Guest guest Posted May 26, 2006 Report Share Posted May 26, 2006 Very interesting case, Lynnette. While there is evidence about what should be, I have always found exceptions. I think this has to do with the amazing variety of human response. This response is based on environment, history, genetics, anatomy and physiology, energetics, and luck. I sometimes feel that a mother's love or desire can show up in milk production and that this can be as powerful as nipple stimulation and milk removal...........in some cases, sometimes. No rules here. warmly, s Nikki Lee RN, MS, Mother of 2, IBCLC, RLC, CCEcraniosacral therapy practitionerFaculty, Lactation Division Maternal-Infant Program, Union InstituteFilm Reviews Editor, JHLwww.breastfeedingalwaysbest.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 26, 2006 Report Share Posted May 26, 2006 This is her second baby - I think that makes a difference too! lyla Anyway, I was really impressed by how much milk we got and how full her breasts still seemed on Day 10, with no stimulation. This is such a huge contrast to what I have been seeing lately with older moms. I am wondering about correlations others have noticed between age and first lactation, and its effect on milk production? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 26, 2006 Report Share Posted May 26, 2006 Hello all, I’m hoping you may be able to shed some light on this one. Baby is 5 weeks old. Mom called me complaining of sore nipples after going through the usual questions she finally compared the feeling of the baby’s tongue on her nipples to sandpaper or a “cat’s tongue.” I was thinking tongue –tie, though there was also the possibility that baby was getting nipple confused because they had recently introduced pacifiers. So I went to see her and baby. This baby could easily elevate, stick out, and move its tongue laterally. We weighed baby. Mom latched baby on expertly on right side – nice deep asymmetrical latch. For about 10 minutes she felt no pain. Then she began complaining of the sandpaper feel. I noticed baby’s latch had slipped down a little and cheeks were dimpled. We worked on re-latching but she felt no improvement. We weighed baby and he had taken 2.2 ounces. I suggested trying the left and mom explained that on that side it usually hurt from the start. We worked on that side and baby just wouldn’t go on far back enough. I tested his suck on my (gloved) finger. His tongue did not work in a smooth wavelike motion. More of a pumping, pistoning action and would gag if my finger was placed at mid-hard palate. She explained she felt none of this in the first 3 weeks. At this point, we felt his new behavior coincides with the introduction of the pacifier. So I strongly encouraged her to eliminate and consider calling our local OT/ CST if she felt things were not improving after a couple of days. We are just beyond a couple of days and things have not improved. Mom wants to alternate feeding at breast with pumping and either cup feeding or finger feeding ( if baby will tolerate) to give her now very raw nipples a break. We’ve called OT/CST and are waiting to connect. Can this be the result of pacifier use? Could there be some underlying physical cause for this? Why would baby find it suddenly difficult to tolerate a deeply latched breast? Could this still be some type of tongue–tie? All thoughts greatly appreciated. Thanks, Carmen , LLLL, IBCLC RE: interesting case This is her second baby - I think that makes a difference too! lyla Anyway, I was really impressed by how much milk we got and how full her breasts still seemed on Day 10, with no stimulation. This is such a huge contrast to what I have been seeing lately with older moms. I am wondering about correlations others have noticed between age and first lactation, and its effect on milk production? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 Hi Carmen, It could still be a tight frenulum - it is a possible type 3 - 4 or 5. Sometimes they are further back or no real string at all - just attached at the base too tightly. Does the tongue make a cup like whole ? is the palate really high and channeled or rough like sandpaper? I have seen some of these and I refer to Dr Coryllos - You either need to find someone or do some more research. Also on a side note - how many of us at times think that we are the last 'chance' for some moms - not because they have tried it all - but so they can say - "well I tried and it didnt work for me" - so when we get there they have already decided "this is not for me - but at least I did have some one to help." When they never really wanted to in the first place - but felt they "had to at least TRY" I wonder at times if these are those cases that stump us. Maybe - maybe not. Either way I give the same to all - then its all up to them. Some make it some don't - but I did my job. Just back from Disney world - saw a few moms nursing - yes out in public - I just smiled - no words needed. They get it How can I be jet lagged - when in the same time zone here LOL - early flight I guess !!! Donna Kimick, IBCLC, RLC Quote Link to comment Share on other sites More sharing options...
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