For whatever reason, it sounds like regulation of the milk supply has moved from baby to Mom.  I have met babies who were, in a sense, being "bottle fed" at the breast.  That is, baby has no need to latch or suck effectively because Mom is delivering the milk through hand expression directly into the baby's mouth and making this possible by inflating her milk supply through regular pumping.  This shift in control could happen initially with very good reasons but when it comes time for baby to seize control - it is too late for his natural instincts to kick in.

If this is the case, how to proceed will probably require some experimentation.  One approach is to check basic latch and positioning.  A two month old baby is often much more flexible at the breast than a newborn, but it may be useful to go back to the cross cradle position, nipple to nose, ensure head is not turned, chin deep in breast, etc.  Another thought is trying a session of finger feeding each day using a feeding tube and syringe - only delivering the milk when baby is actively sucking.  Skin-to-skin with lots of access for spontaneous latching is always nice.  Really, lots of the techniques that you may use to get a baby from bottle to breast at 2 months could possibly be helpful here.

Ellen

Ellen Rubin, MA, IBCLC, LLLL

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