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Related Experiment Videos

Bubble palate and failure to thrive: a case report

J B Snyder1

  • 1Lactation Institute and Breastfeeding Clinic, Encino, California, USA.

Journal of Human Lactation : Official Journal of International Lactation Consultant Association
|June 1, 1997
PubMed
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A variation in infant palatal structure (VIPS) can cause breastfeeding difficulties and failure to thrive. Identifying and treating VIPS, even when masked by other issues like nipple candidiasis, is crucial for successful infant feeding.

Area of Science:

  • Pediatrics
  • Lactation Consultancy
  • Infant Nutrition

Background:

  • Breastfeeding challenges are common postpartum.
  • Failure to thrive (FTT) in infants requires thorough investigation.
  • Nipple candidiasis can complicate breastfeeding assessments.

Observation:

  • A mother presented with severe nipple pain and an infant experiencing significant weight loss (failure to thrive).
  • Initial assessment suggested nipple candidiasis, but a deeper evaluation revealed a variation in infant palatal structure (VIPS) as the underlying issue.
  • The VIPS was initially concealed by the symptoms of nipple candidiasis, complicating diagnosis.

Findings:

  • A variation in infant palatal structure (VIPS), specifically a bubble palate, was identified as the root cause of the infant's feeding difficulties.

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  • The infant's oral anatomy assessment confirmed the VIPS, which impaired effective latch and milk transfer.
  • Successful breastfeeding was achieved through alternative positioning and oral behavior repatterning, addressing the VIPS.

    • Implications:

    • Variations in infant palatal structure (VIPS) represent a significant, often overlooked, cause of breastfeeding problems.
    • Comprehensive infant oral assessments are essential when breastfeeding issues and failure to thrive are present.
    • Early identification and management of VIPS can prevent prolonged infant feeding difficulties and ensure adequate nutrition.