Lisa and all,

I am wondering if baby has some kind of suck dysfunction due to an oral
anomaly or some issue with the birth (might a rapid birth be a flag for
some kind of structural issue, CST colleagues?).  I can imagine mom
adapting to the suck, or baby's suck improving enough to stop damaging her
nipples, while baby's difficulty persists in transferring more calories
than are expended in suckling.

Ruth

-- 
Ruth Piatak, BA, MS, LLLL, IBCLC
WIC Breastfeeding Peer Counselor
Tulsa, Oklahoma
918-585-9114
[log in to unmask]

(Lisa wrote:

Thank you, Rachel, for your additional comments about the birth weight.
 Baby was born at 39 weeks. Extremely fast labor, to the point of almost
having baby in car vs hospital.  No birth complications, or meds.  I was
suprised at how small baby was, given the health history of mom
(non-smoker, very conscientious) Mom gained less than 20lbs during
pregnancy.

At first, mom was pumping and bottle feeding some due to extremely sore
nipples.  That was the original reason for my referral to the LC.  Mom was
in a lot of pain.  For a short time, she was only able to nurse on one
breast because of soreness.  The soreness has resolved now.  At first, baby
was getting some EBM , and I encouraged direct BF as much as possible.  Now
Mom is not pumping.

Mom has been in contact with me consistently since the birth and I can't
tell you how many times this Mom has said to me "Baby just doesn't seem
satisfied.")

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