Babies with oral tethering don't have access to the full range of motion needed to create negative pressure at the back of their mouths so they can draw milk out of the effectively and painlessly. We can all assess the latch, but what is happening with the tongue, the breast and nipple, and the other muscles involved in the mechanics of suck after the baby’s mouth closes over the breast? How do we identify compensatory mechanisms convince babies to change them with the broader mobility they have after frenotomy? This presentation will teach participants how to visualize/experience normal infant suck. Compensatory suck mechanisms are the techniques that infants use during feeding when they don’t have access to adequate movement in their tongue and floor of their mouth. Infants are creative, and the strategies they develop are varied. Participants will learn how to identify and categorize compensatory mechanisms and use clinical skills to differentiate and assess muscle tension related to overuse and suck mechanics at the breast. A unique set of clinical techniques that can be used by the lactation consultant and taught to the mother addressing each category of compensatory suck mechanics will be introduced and illustrated through case studies.
Learning Objectives:
1. Describe suck mechanics.
2. Identify compensatory suck mechanics used by babies with oral tethering.
3. Demonstrate techniques for identification and treatment of compensatory suck mechanics.
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