Bovey A, Noble R, Noble M
Bayside Breastfeeding Clinic, Qld.
Breastfeed Rev. 1999 Mar;7(1):23-8.
Young babies occasionally have aberrant orofacial movements that may appear to be the cause of their breastfeeding difficulties. There has been a trend to treat this by introducing corrective exercises for the affected muscle(s). Such treatments have had their bases in therapeutic measures that were originally designed for severely neurologically impaired babies. In fact, most babies with breastfeeding problems are neurologically intact, with many needing only minimal but specific interventions predominantly involving the gape response, attachment and positioning. If the baby's gape response is poor, a minimal amount of breast tissue is taken into the baby's mouth, and abnormal orofacial movements during breastfeeds are the automatic result. This paper re-examines the use of orofacial exercises--often called "suck training"--for babies with breastfeeding problems. There can be negative results from using specific orofacial exercises in an arbitrary or generalised manner. Precautions and guidelines for appropriate corrective measures are discussed.
