Breastfeeding

Main baby sucking problems in breastfeeding


Successful breastfeeding always requires three aspects: confidence on the part of the mother, good hydration and, most importantly, adequate suckling of the baby. But it happens that baby sucking problems They include many causes, therefore, it is important that, before you stop breastfeeding your little one, you know what problems you may encounter in order to find the best solution.

Join me in this article that will help you to know the different reasons that can cause difficulties in the sucking of the baby when it is put to the breast of its mother.

1. Anatomical causes
They are those in which the baby has some type of malformation in the mouth or maxilla, for example, retrognathia, ankyloglossia, palate and cleft lip.

The retrognathia it is characterized by a facial deformity in which the lower jaw is smaller, seen further behind the upper jaw; it can be part of genetic syndromes, but it can also be seen in isolation. It can generally fade over time, so grasping and sucking can be compromised and the baby tends to choke more often. You can opt for the wheelie position that allows a better coupling to the mother's breast.

The ankyloglossia is the medical term used to refer to the short lingual frenulum. This refers to the 'tied' tongue, which is why it remains attached to the floor of the mouth, making it impossible for the baby to suckle properly.

Generally, the pediatrician realizes that the child has a lingual frenulum because the mother manifests pain and cracks or fissures in her nipples and, when observing the baby's mouth, the presence of the same is evident (the baby suckles improperly and often does not manages to fill completely because the proper exit of the milk is impossible).

The pain in the mother's breasts occurs because the baby has limited movements in his tongue, which is tied, however, there are babies who have a lingual frenulum and it does not cause any discomfort to the mother or problems in breastfeeding.

If your baby has a lingual frenulum and a grip problem is occurring, it is necessary to evaluate it with a pediatric dentist or surgeon to section the frenulum. The procedure is called a frenetomy, but first you should see a breastfeeding counselor.

Cleft lip and palate It is a birth defect, in which there is an opening in the upper lip or the palate (or both), which interferes not only with feeding but also with the child's language.

In this case, breastfeeding is possible, only that the baby must exert greater pressure on the maternal breast to suck properly and this can cause the mother some discomfort. You must have a lot of patience until you achieve the ideal position and here the usual breastfeeding positions and rules are not followed. It's just the position that you and your baby feel good in that is going to work.

One of the positions that can generally help you is football. In it the baby is in an upright position and the milk can flow easily into the throat. In cleft lip cases, the baby can latch onto the breast; In the case of a cleft lip + palate, the ideal is that if the latch on the breast is not achieved, give breast milk expressed with a cup or cup and teaspoon.

Macroglossia or baby with a larger than usual tongue size. It is seen more in children with Down syndrome, in whom the tongue protrudes, that is, they take it out of the mouth a lot, which makes breastfeeding a bit difficult.

2. Functional causes
These are situations that occur at the time of the child's birth. Some of the most common are hypotonia or hypertonia, but there are more.

Hypotoniarefers to a decrease in muscle tone, which translates into weakness in the muscles. Muscle hypotonia can be seen in children with Down syndrome, premature babies, some genetic syndromes, perinatal asphyxia, cerebral palsy, and even full-term babies.

Not all babies with hypotonia are affected by breastfeeding, but generally they may have weak suckling. The correct position for breastfeeding depends on the mother and the baby, but I recommend that the body be adequately supported to try to support the head and neck. Another tip: express a little milk to facilitate sucking and stimulate it. If you notice that sucking is difficult, you can offer the milk with a glass or glass and spoon until the hypotonia improves as he grows and can do it himself.

And the opposite of hypotonia is the hipertonia. It is characterized by an increase in muscle tone, which is why the baby tends to be with his muscles contracted, which could interfere with suction due to the greater pressure exerted on the oro-facial muscles.

In the case of premature babies, by its very immaturity, the suction is not fully developed. Breastfeeding counselors recommend a method called finger-syringe, in which expressed breast milk is administered with a syringe (alone or connected to a tube) at the same time that the mother's little finger is inserted into the baby's mouth. previously washed. This method stimulates sucking until it is fully established as the baby acquires motor skills at the oral level to do it alone.

Delay in the first hour. Ideally, at birth, skin-to-skin contact with the baby is given, because breastfeeding is facilitated. The first hour of life is essential for the baby, since the so-called imprint is given, which is nothing more than the 'seal' that occurs in his mouth and palate for the first time when in contact with the breast.

3. Traumatic
They are given by the use of instruments during delivery or cesarean section, for example, forceps or any trauma that the baby has suffered during birth, which may compromise its integrity and generate difficulty in sucking.

4. Others:
The most common is teat confusion syndrome. This is due to the use of a bottle, pacifier or nipple shield while breastfeeding, which makes breastfeeding difficult, since the position adopted by the baby's tongue and mouth is different compared to the breast.

It usually occurs, as we have said, in those babies who are receiving mixed feeding (that is, breast milk and infant formula) or those babies whose mothers give the bottle at night to fill them up. If this is your case, you must be patient, since to solve this situation the so-called relactance must be implanted, and the time varies from one baby to another.

Another situation can be the use of general anesthesia in emergency caesarean sections, which can affect the alertness of the baby and cause drowsiness (very sleepy). This makes sucking less vigorous at first and her mother is not fully active or awake to be able to breastfeed. It does not happen in all cases, that is, sometimes the baby is born vigorous and does not interfere with sucking.

In any case, it is necessary that you seek help from an expert in breastfeeding, who will be in charge of evaluating each case in particular and giving the necessary help so that you can achieve successful breastfeeding.

You can read more articles similar to Main baby sucking problems in breastfeeding, in the category of On-site Breastfeeding.

Video: Breastfeeding Position and Latch (September 2020).