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Your baby has a tongue-tie, tongue thrust or retracted tongue. These can be fixed or may improve over time. I use a small sized nipple shield. The ones from lansinoh are a little shorter than the Medela nipple shields and work better for my baby. " The effect of preterm birth, recurrent laryngeal nerve lesion, and postnatal maturation on hyoid and thyroid movements, and their coordination in infant feeding. Journal of Biomechanics, 105, 109786. 10.1016/j.jbiomech.2020.109786
Associations between variations in breast anatomy and early breastfeeding challenges. Journal of Human Lactation, 37( 2), 403–413. 10.1177/0890334420931397
Once you decide to wean from the nipple shield, you can try removing the shield during a feeding earlier and earlier each time so baby can get an idea of what it’s like without it. A tongue thrust or tongue-tie— a condition in which a tight band of tissue connects part of your baby’s tongue to the floor of her mouth — can make it difficult for your little one to latch on to breastfeed. Nipple shields can help in the interim while your pediatrician recommends next steps. How to use a nipple shield properly
Specific vagus nerve lesion have distinctive physiologic mechanisms of dysphagia. Frontiers in Neurology, 10, 1301. 10.3389/fneur.2019.01301
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Here we focused on the nipple and the compression of the nipple generated by the infant while feeding. Our goal was to explore whether specific nipple properties would affect gross feeding behaviors. To accomplish this, we constructed nipples that were identical in shape and size but differed in specific, measurable ways. We tested two specific factors that vary the sensory input during infant feeding: differences in the size of the hole that delivers milk and the stiffness of the nipple material. This two‐factor design also allowed assessment of how multiple sensory inputs interact to affect motor outputs in infant feeding. We tested the differences among these nipples in individual responses using an animal model, the infant pig (German et al., 2017). This model permitted us to use highspeed videofluoroscopy to record multiple swallows per individual across multiple nipples (Gould et al., 2015, 2017, 2020). Don’t ever cut the tip of the nipple shield in an effort to wean from it, as doing so can leave sharp edges that could harm your baby. It's already known by research that women's well-being after breast cancer has a direct influence on life expectancy." Impact of recurrent laryngeal nerve lesion on oropharyngeal muscle activity and sensorimotor integration in an infant pig model. Journal of Applied Physiology, 125( 1), 159–166. 10.1152/japplphysiol.00963.2017 https://community.breastcancer.org/blog/vinnie-myers-3-d-nipple-tattoo-artist-frequently-asked-questions/