There are separate CKS topics on Breast cancer - recognition and referral , Breast pain - cyclical , Breast screening , and Mastitis and breast abscess. The target audience for this CKS topic is healthcare professionals working within the NHS in the UK, and providing first contact or primary healthcare. Recommendations on use of soft paraffin or purified lanolin cream revised to reflect evidence-base. December to January — reviewed. A literature search was conducted in November to identify evidence-based guidelines, UK policy, systematic reviews, and key randomized controlled trials published since the last revision of the topic.
Can You Breastfeed a Baby With Mouth Problems?
Cleft Lip & Palate Association
Most latching-on problems are easily corrected with a few simple adjustments. But sometimes a baby can have anatomical issues that make proper latching-on difficult or even, in rare cases, impossible. The jaw and tongue work together to stimulate the release of milk from the breast. Let-down occurs when your baby suckles, causing the release of the hormone oxytocin which starts the flow of milk. Anything that hinders let-down , like unproductive suckling, infrequent feedings or short feedings can slow milk production.
Breastfeeding Problems Due to Baby's Anatomy
Babies with a cleft lip without a cleft palate may be able to breastfeed. There can be difficulties with forming a seal between the breast and lip but, depending on the type and size of the cleft, the breast may be able to mould to the gap. A hissing sound usually means air is entering the mouth, so try to re-position the baby on the breast to help them to form a vacuum. The nipple needs to stay on the back of the tongue, so it may be useful to help the baby by holding the breast in the mouth. You may need to try several different positions over time before you find one which works, and it will help to seek support from medical professionals experienced in feeding babies with clefts, such as your Cleft Nurse Specialist.
After having overcome some breastfeeding challenges with my first daughter, I was looking forward to an easier experience the second time around. Finding out that my second daughter, Miriam, would be born with a unilateral cleft lip and palate was a cold shower - the first of many. I didn't know exactly how it would affect breastfeeding, but I knew deep down that my dreams of a carefree breastfeeding experience were no longer going to come true. When I got home, I took my breastfeeding reference book off the shelf and discovered that breastfeeding as I then imagined it - exclusive breastfeeding at the breast , with a cleft lip and palate, may not have even been possible.