Guest guest Posted June 18, 2012 Report Share Posted June 18, 2012 Ptp - working with a mother with large heavy breasts and baby (5 days) with a recessed chin - not as severe as some of the Pierre Robin pictures but noticeable (mom brought it up pretty quickly)and a lip tie. Nipples developed stage II damage by day two, mom pumped for a day to give them time to recover. Mom's production seems fine(lots of poops), nipples are healing. We've focused prone position head well extended for baby, laid-back for mom, nipple sandwich to get more breast tissue in, helping baby 'find' the breast with asymmetric latch rather than RAM. When a pinkie is slipped in baby's mouth it feels like she's pushing against the pinkie for a few sucks, but with suction so it doesn't feel pushed out. Mom is working with a mouth exercise from GW's SSS (p.199) to help baby keep tongue down. Body work will be suggested at tomorrow's visit to help release tight muscles/help chin come forward. questions - can nipple shields help protect mom's nipples and help improve latch? - is a PTT inevitable with the recessed chin/lip tie? Not sure if I feel one or not. - what am I missing/what else could be helpful? Thank you so much! McCormick Vermont Quote Link to comment Share on other sites More sharing options...
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