Beyond the nipple care that Cathy suggested, here is my take:
Maybe this baby has a bit of a recessed chin which is why the lower lip
consistantly sucks in. I would try for an asymetrical latch with the chin
really smooshed in and the nose out. Sometimes that means moving baby's body
a bit differently to get the chin up in there. I sometimes have mom pull
baby's head up closer to the armpit of the breast she is using so that she
can get more chin into the breast (cradle hold). And I want one hand behind
his neck/shoulders guiding him in (football or cross cradle). Or baby could
be a jaw clencher and staying on tight and hurting mom. Craniosacral therapy
helps this one. I have seen lots of babies gain poorly when they are latched
on poorly, especially those with the kind of recessed chin where the bottom
lip doesn't meet exactly to the top lip when mouth is closed. I don't think
we really have research showing definatively that fluids given in birth to
the mom will create a higher fluid loss in the baby after birth. When I see
10% loss, I think poor intake. Test weighing of a feeding will help
determine if baby is removing enough milk. Also counting bowel movements if
mom is not supplementing.

Kathy Eng, BSW, IBCLC

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