Infant with dysfunctional suck

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J Am Osteopath Assoc ; 1 — Premature newborns and infants are usually required to successfully transition from gavage to nipple feeding using breast or bottle before discharge from the hospital. This transition is frequently the last discharge skill attained.

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The anatomy of the infant is designed to breastfeed, to suck. The structure of the mouth and throat are adapted to allow both swallowing and breathing at the same time. There is coordination between the muscles of the mouth, the functioning of the jaw and tongue, and the ability to breathe through the nose which allows for sucking, swallowing and breathing.

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Clinical management of oral disorders in breastfeeding. Maria Teresa C. Healthcare professionals may have an important role in these cases, as they can early detect such disorders.

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Either your web browser doesn't support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page. Thirty-one preterm infants mean gestational age NTrainer treatment was provided to 21 infants.

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So many factors can attribute to why a baby has a poor latch, or a poor suck. The biggest factors that affect how a baby breastfeeds are the tongue, the shape of the palate, and the muscles that attach to the jaw. When a baby experiences anatomical restrictions or stress factors in the womb, the form and function of key muscles like the tongue, the lateral and medial pterygoids, the masseter, the sternocleidomastoid, the digastric, and the temporalis muscles can easily become misaligned or develop trigger points.

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Infants gain all their nutrition through breast or bottle feeding until they are at least six months of age. The ability to suck successfully from breast or bottle requires the infant to coordinate three actions: suck-swallow-breathe. Suck is accomplished with slightly different motions on the breast compared to the bottle, but essentially the lips must close on the nipple and the tongue moves in and out in a suckle motion and presses the nipple against the roof of the mouth, creating pressure on the nipple.

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Based on this more thorough assessment, the lactation consultant may be able to identify all of the factors contributing to this complex case. In some situations, her skilled interventions will suffice once the underlying problem is addressed. Occasionally, she will identify a factor that falls outside of her area of expertise; when this happens, she must make the appropriate referrals. For example, a referral to a physician for a frenotomy or suspected neurological or other medical problem is appropriate.

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Shiloh has never been an easy baby to nurse. Nursing sessions generally involve a lot of popping on and off, her getting frustrated, arms and legs hers flailing all about and sessions ending with both of us frazzled. We first saw a lactation consultant LC at 3 days, when she was sent back to the hospital for jaundice and dehydration.

Search Articles:. We all know the benefits of breastfeeding for a newborn, but we also must not underestimate the joy and emotional well-being that follow when a mother is able to feed her infant as planned and find empowerment through her own natural ability. Yet far too many women suffer from unexplained pain, latch problems and even infection when they attempt to breastfeed, one of the most natural things in the world. This overwhelming pain and trouble when a woman is at her most sensitive can cause the early cessation of the nursing relationship and considerable emotional turmoil.

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