Guest guest Posted January 21, 2012 Report Share Posted January 21, 2012 Hello! I have a question about squeaking while breastfeeding. (permission to post). I am working with a client and new baby 3 weeks old. Mom has lots of milk and fast flow. Baby has posterior tongue tie, released once, CST once to help arms move, relieve cranial asymmetry. Mom had cracked and bleeding nipples prior to frenotomy. Latch improved for about a week. Now mom reports tickly feeling on nipple while nursing, shallow latch. I suggested assessing tongue for a revision, more CST for improved, but continued asymmetry, and sucking on mom/dad's finger to improve sucking pattern (see next). Baby is doing best she can with a fast flow and TT. We talked about how to help her cope and make it not so difficult for her (anti-gravity, express milk ahead, etc). I also noticed squeaking with each swallow at the beginning of the feed and intermittently throughout and after the feeding. She has an irregular suck pattern: 4-5 sucks, pause, tongue thrust, and gums clamp while she breathes. Then it repeats. I was noticing her breathing a lot. I'm not sure if I am fixated on it because something isn't right, or she is just working hard to nurse and gets tired. My question is at what point does it make sense to suggest OT/PT? We have a great team at Children's hospital here. I don't want to over-treat and send them to another provider if this just needs some time to work out. I suggested they consider it after checking out the CST and TT again if the latch still isn't better. I appreciate your wisdom. Fenner, IBCLC Nurture New Life Providing Breastfeeding and Mothering Support Quote Link to comment Share on other sites More sharing options...
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