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Re: Tongue Trouble

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I'm interested in all the responses about the baby who isn't using the tongue correctly because I am dealing with one of those myself right now. I have a very different work situation, however, because I have NO ENT or anyone else who will address type 3 or type 4 ties, and there are NO CST practitioners in the area. Even though I am only 1 hours from Wash DC, I really have very few specialists to work with. In general, mothers here consider going into DC to be a last option only. It never happens unless baby is truly in bad shape. My question then, is how do you maintain at least some breastfeeding when their is a sucking issue. I am talking about cases where the baby can manage a bottle, at least somewhat, so that is not starving.

Thanks for your thoughts!

Becky , IBCLC

Milky Way Lactation Services

La Plata, MD

www.milkywaybreastfeeding.com

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I find that in some cases a nipple shield can be a beneficial

intervention when it isn't feasible to have the frenulum clipped.

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> I'm interested in all the responses about the baby who isn't using

the tongue correctly because I am dealing with one of those myself

right now.  I have a very different work situation, however, because I

have NO ENT or anyone else who will address type 3 or type 4 ties, and

there are NO CST practitioners in the area. 

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That is always so interesting to me as it is minimally invasive to use

a shield and keep the baby at the breast as opposed to some of the

other potential outcomes, pumping and bottle feeding etc. which some

moms resort to...I feel as if it is better to have the baby effectively

at the breast with a shield than not at the breast at all.

Sometimes the baby needs 3-4 feeds before sustained rhythmic sucking is

achieved with a shield, particularly if they are older, but I would

consider it worth a try, too bad mother isn't open to ruling in/out the

other size.

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> Thanks for that idea, .  We did try that, but he balked, and

mom didn't like it.  I think he might have done better with another

size, but she wasn't interested in trying.  We're still plugging away!

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> Becky , IBCLC

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> Milky Way Lactation Services

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> La Plata, MD

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> www.milkywaybreastfeeding.com

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