Table of Contents

 

 

 

 

Foreword   Diane Wiessinger

ix

 

Introduction

xi

 

Acknowledgments

xiii

 

Contributors

xv

 

Photo Credits

xix

Chapter 1

Normal Sucking and Swallowing   Catherine Watson Genna and Lisa Sandora

1

 

Normal Sucking

1

 

Anatomy

2

 

Deglutition (Swallowing)

6

 

Feeding Assessment

13

 

Clinical Breastfeeding Assessment

17

 

Breastfeeding Assessment

30

 

Developing a Feeding Plan with the Mother

39

 

References

40

Chapter 2

Breastfeeding and Perinatal Neuroscience   Nils Bergman

43

 

Introduction

43

 

Early Developmental Mechanisms

43

 

The Critical Period of Birth

47

 

Later Developmental Mechanisms

50

 

Practice Recommendations

54

 

References

55

Chapter 3

Impact of Birth Practices on Infant Suck   Linda J. Smith

57

 

Introduction

57

 

Induction of Labor and Infant Maturity

58

 

Chemicals/Drugs: Direct Effects on Sucking, Swallowing, and/or Breathing

60

 

Physics and Forces: Mechanical Effects of Birth Practices and Procedures

62

 

Consequences of Separation

64

 

Consequences of Other Birth-Related Practices

65

 

Recovery from and Resolution of Birth-Related Infant Problems

66

 

Summary

74

 

References

75

Chapter 4

How Infants Learn to Feed: A Neurobehavioral Model   Christina Smillie

79

 

Innate Mammalian Newborn Feeding Behaviors

80

 

Baby-Led Learning

82

 

Explaining Infant Competence: The Neurobehavioral Literature

85

 

Infant Learning

89

 

How Babies can Relearn to Feed—An Approach to Breast Refusal

91

 

Our Role in Helping Mothers and Babies as they Learn to Breastfeed

92

 

References

93

Chapter 5

The Infant-Maternal Breastfeeding Conversation: Helping When they Lose the Thread   Rebecca Glover, and Diane Wiessinger

97

 

Preparation for the Breastfeeding Conversation

98

 

Mouth Mechanics and the Breastfeeding Infant

105

 

The Breastfeeding Conversation: Baby-Led Self-Attachment

107

 

The Quick Breastfeeding Conversation: Mother-Sped Self-Attachment

109

 

Stepping in to Translate: When Mother or Baby Loses the Conversational Thread

112

 

Conversation Starters: When a Baby from 1 Week to 3 Months Does not Latch

113

 

When Technique is not enough

123

 

Conclusion

127

 

References

128

Chapter 6

The Goldilocks Problem: Milk Flow that is not too Fast, not too Slow, but Just Right, or Why Milk Flow Matters and what to do About It   Lynn Wolf and Robin Glass

131

 

Introduction

131

 

Foundations of Infant Feeding: A Triad of Skills

131

 

The Relationship Between Flow Rate and Coordination of Sucking, Swallowing, and Breathing

137

 

Factors to Consider in Assessing Flow Rate

139

 

Assessing Flow Rate during Breastfeeding

142

 

Common Diagnoses Related to Flow Issues

145

 

Intervention Strategies to Alter Flow

147

 

Conclusion

151

 

References

151

Chapter 7

Breastfeeding Preterm Infants   Kerstin Hedberg-Nyqvist

153

 

Breastfeeding Rates in Preterm Infants

153

 

Special Characteristics and Needs of Preterm Infants

153

 

Assessment of Readiness or Facilitation of Competence

154

 

Facilitation of Breastfeeding by Developmentally Supportive Care

156

 

Protecting Milk Supply

156

 

Observing Breastfeeding in Preterm Infants

161

 

Mental Checklist for Practical Breastfeeding Support

165

 

Use of Alternative Feeding Methods Related to Breastfeeding

168

 

Strategies for the Transition from Enteral Feeding to Breastfeeding

173

 

Early Discharge and Home Care

175

 

The Kangaroo Mother Care Method

175

 

Conclusion

176

 

References

177

Chapter 8

The Influence of Anatomical and Structural Issues on Sucking Skills   Catherine Watson Genna

181

 

Ankyloglossia (Tongue-Tie)

181

 

Superior Labial Frenulum

203

 

Hemangioma

203

 

Micrognathia and Mandibular Hypoplasia

203

 

Macroglossia

206

 

Breastfeeding and Oral Clefts

206

 

Congenital Abnormalities of the Airway

217

 

Congenital Heart Disease (CHD)

220

 

Other Structural Issues

221

 

Conclusion

223

 

References

223

Chapter 9

Minimally Invasive Treatment for Posterior Tongue-Tie (The Hidden Tongue-Tie)   Elizabeth V. Coryllos, Catherine Watson Genna, and Judy LeVan Fram

227

 

Recognition

227

 

Breastfeeding History and Assessment

228

 

The Frenotomy Procedure and Modifications for Posterior Tongue-Tie

228

 

Conclusion

234

 

References

234

Chapter 10

Sensory Integration and Breastfeeding   Catherine Watson Genna

235

 

What is Sensory Integration?

235

 

The Process of Sensory Integration: Important Concepts

235

 

Role of Sensory Integration and Sensory Processing in Breastfeeding

239

 

Breastfeeding Infants with Sensory Processing Difficulties

244

 

Maternal Sensory Processing

248

 

Conclusion

250

 

References

250

Chapter 11

Neurological Issues and Breastfeeding   Catherine Watson Genna, Judy LeVan Fram, and Lisa Sandora

253

 

Causes of Neurological Disability in Newborns

253

 

Developmental Structural Issues

254

 

Hydrocephaly

257

 

Autistic Spectrum Disorders

258

 

Genetic Neurological Conditions

259

 

Neuromuscular Junction Issues

266

 

Effect of Neurological Disorders on Feeding

267

 

Supportive Techniques

269

 

Interaction of Birth Interventions with Neurological Issues

272

 

Preparatory Handling

272

 

Alertness

275

 

Sucking Issues in Neurologically Impaired Infants

275

 

Oral Motor Dysfunction and Facilitative Techniques

280

 

Helping Infants Who Feed Ineffectively

284

 

Dysphagia and the Neurologically Involved Baby

295

 

Gastroesophageal Reflux

297

 

Conclusion

299

 

References

299

Chapter 12

Therapeutic Positioning for Breastfeeding   Chele Marmet, and Ellen Shell

305

 

The Importance of Positioning

305

 

Naming Positions

306

 

The Importance of Skin-to-Skin Contact

306

 

Therapeutic Positions for Treatment

308

 

Modifications for Specific Problems

318

 

Positions for Multiples

320

 

Conclusion

322

 

References

323

Chapter 13

Counseling Mothers of Infants with Feeding Difficulties   Nancy Williams

327

 

Adult Development

328

 

Maternal Adequacy

329

 

Resistance

330

 

Attachment

331

 

Birth Resolution

332

 

Imperfect Baby

333

 

Teen Mothers

333

 

Advice of Outsiders

334

 

Family of Origin Issues

335

 

Grief and Coping Skills

335

 

Substance Abuse

336

 

Lactation Consultants’ Feelings and Responsibilities

337

 

Helping the Bottle-Feeding Mother Nurse her Baby

340

 

Conclusion

340

 

References

341

 

Index

343