Sometimes this happens as mom forgets to swing baby further across her
body to maintain an asymmetrical latch as the baby grows. I sometimes
even see toddlers where everything is fixed by sliding the baby a little
so the nipple presents to the philtrum (ridge under the nose) again.
Otherwise, it could be a tongue-tie. Some babies improve and manage to
breastfeed, and then when the lower central incisors come in, their
sucking pattern causes damage to the underside of the tongue, or they
are unable to keep the tongue over the teeth and hurt mom when their
bite reflex is triggered. (The tongue over the gum/teeth inhibits the
bite reflex).
Catherine Watson Genna, IBCLC NYC
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