Shannon,
I'll let Cathy tackle what surely sounds like a tongue-tie problem. (And by
the way, the ability to stick the tongue out is not indicative of good
function-- they must be able to extend tongue while mouth is open wide AND
keep it out). As for the milk supply, mom needs to understand that she has a
baby who struggles to stay on the breast, struggles with feedings, and she
is intentionally inducing a double supply, which essentially creates a
higher pressure MER. Now if she had twins, that's just the way it would have
to be. But since this is a singleton baby, producing half as much milk just
might reduce the back pressure and the strength of the let-down, which in
turn just might make feeding easier and require less suctions breaks to
control milk flow.  Help mom to see the experience through baby's eyes. She
can do some insurance pumping, but it needs to be more tempered.

Lisa

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