01/06/2024
Full-term typically developing newborns are born with buccal fat pads (commonly called sucking pads).
These develop toward the end of pregnancy when other fat is developing on a babyâs body, so premature babies do not develop them and near-term babies may have thin ones.
Sucking pads are balls of fat in a babyâs cheeks that help keep the cheeks against the gums, so the baby can attain appropriate intraoral pressure during feeding.
They supply lateral stability in the mouth until the babyâs cheek muscles (particularly the buccinators) gain control of the process between 4 and 6 months.
â˘How else is a babyâs mouth designed for feeding? â˘
Well, an infantâs tongue is large compared to the rest of the mouth, which increases contact with breast milk â the babyâs ultimate goal.
A babyâs tongue is cushioned on either side by the fat reserves in the cheeks.
In addition to the physicality of the mouth, babiesâ upper airways are equipped to enhance breastfeeding. The epiglottis is a small flap of cartilage that covers the babyâs windpipe and prevents milk from going into the airway; instead, the milk is directed to the esophagus.
â˘What about those lips? â˘
Flanging of the upper lip is good, but not criticalâŚ
Youâve heard this as lip-flanging, lip-flaring, fish lips, and probably a few other descriptors. Those descriptors are saying that the upper lip flips outward around the nipple/areola.
A lack of lip flanging isnât necessarily worrisomeâ a neutral position of the upper lip is fine. If baby has a deep latch and good suction, good milk transfer will occur. If the upper lip is sucked inward, or the upper lip flanged too far back, comfortable attachment and good milk transfer is unlikely.
â˘What are signs to look for and listen for that may indicate a problem? â˘
â˘Dimpled cheeks while feeding
â˘Milk spillage
â˘Clicking noises
â˘No audible or visible swallows
â˘Lip blisters or a âtwo toneâ appearance to lips
â˘Popping on and off the breast
â˘Painful breastfeeding
Dm for đ¸ credit!