Guest guest Posted July 8, 2012 Report Share Posted July 8, 2012 PTP. I had a consult today that was rushed because I had to be to work at ths hospital tonight but I could tell mom was very anxious and wanted the consult right away. Infant had been crying and acting hungry all the time and then today at 4 days old acted sleepy and wouldn't eat much. Infant latched easily and seemed to be feeding well. Lots of swallows heard. How ever after a 20 min feed pre and post weights showed only a 1/2 oz increase. I then observed infants oral cavity (didn't due before hand because she was ready to eat). Noted a the tight labial frenulum and infant having difficulty flipping lip out. Did not see any sign of TT. Suggested nipple shield (I know it helps infant's with tt remove more milk) and infant gained 1.5 oz in 15 min from other side using shield. Mom was not succssful breastfeeding first infant reports decreased milk supply and trouble latching infant. Mom has a medela pump n style but has not been able to let down much milk only about 1/2 oz. Mom has good breast tissue and no underlying medical issues. She is already taking mother's love more milk plus. I plan to see this mom again for tomorrow for a weight check and I sent her this link. http://thefunnyshapedwoman.blogspot.com/2011/03/introducing-maxillary-labial-fre\ nulum.html It just seems there is not a lot of info out there on the effects of tight labial frenulums but this is the only thing I could find that was maybe effecting milk removal. Wondered if you all had seen this also and if you were able to find a ENT who would clip it. Thanks in advance for you help. Karman Romero IBCLC Babysbreaststart@... www.babysbreaststart.com Quote Link to comment Share on other sites More sharing options...
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