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Sheena Reilly, J. Reid, J. Skeat, and The Academy of Breastfeeding Medicine Clinical Protocol Committee

Breastfeeding Medicine, Volume 2, Number 4, 2007

Background

Babies use both suction and compression to breastfeed successfully. The ability to generate suction is necessary for attachment to the breast, maintenance of a stable feeding position and, together with the let down reflex, milk extraction.

There is a relationship between the size of oral pressures generated during feeding and the size/type of cleft and maturity of the baby. For example, babies with a CL are more likely to breastfeed than those with a CP or CLP. Some babies with small clefts of the soft palate generate suction18 but others with larger clefts of the soft and/or hard palate may not generate suction.

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