Permission to post:
I have been seeing now 2 mo girl since a few days after her vag. hospital birth.  She lost alot of weight and by the time I first assessed the latch/positioning/etc., baby was lethargic and very low weight gain, green poop.  Birth weight was around 8 lbs (I am at home, no records here) and it took her about a month to regain the weight. Now at 2 mo she is about 9.5 pounds.  Baby has a very ineffective latch, spills milk and can be detached easily. Baby will only latch to RT side and only in football hold.  She throws up alot, and its hard to say how much. She had distorted/damaged nipples when I first saw her, but the RT (only side she is feeding off) appears round and healed now.  I did not see typical tongue tie or overly small chin/jaw, but to be sure I asked her to go to pediatrician/CST / pedi ent.  She went once to CST and felt very uncomfortable and left before assessment. Never went to Pedi Ent.  She has been following up with Pedi who (as baby is now gaining -- albeit slowly) just tells her to "keep up the good work".

I have a very strong gut feeling that the baby has either one of the difficult tongue ties or some anomaly of the palate or mouth/jaw physiology not allowing her to stay latched effectively.  Mother is very resistant to seeking specialist help.  Most recently the doctor diagnosed baby with reflux.  She filled the prescription for ranitidine, but mom says it really doesn't help with the spitting up.

 I have asked her to supplement with her own milk at the breast (w #5 french) and she says that if she gives baby too much milk at a feeding she throws it "all" up.  So she just sticks with feeding about every hour and a half on one side.  She is exhausted, possibly depressed, and will need to go back to work in 3 weeks.

ANy ideas? 

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