Yes, CST. What about baby's palate? Shortened frenulum, high palate can go hand in hand, which kind of smashes the straw, so to speak, making it difficult to get the milk through.
Mom can do lots of breast compressions to keep the milk flowing and make it easier for baby to drink. She could also increase her milk supply, likely unnecessarily, to give an very abundant milk supply that makes it easier for baby to drink. As baby gets older, he may get more efficient.
I also find that some mothers aren't really paying attention while baby nurses (surprise, surprise). If I can persuade them to pay very careful attention to when baby is drinking, when he is not, using breast compressions and stimulation to keep him drinking, feedings often improve. I'm a bit amazed how many mothers really don't know when baby is drinking vs dozing.
Mary L. Wagner-Davis, MS, MFT, IBCLC, LLLL
Roseville, CA
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