Hilary, I had a similar case and what I found was that on a digital exam the
baby had an over sensitive gag reflex. It appeared that the baby was more
comfortable or protecting himself from the gag. The mother never had sore
nipples and the baby was gaining well. The mother stated the noisy feedings
were a problem for her when out in public.
I had the mother do some tongue training. Slowly introducing the finger
deeper into the baby's mouth by tolerance along with nursing. The baby
eventually got better but not perfect.
Ann Perry, RN IBCLC
Boston, MA
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