Ideas for this scenerio:
Large or long nipples, and/or deep ducts (Does mom need large pump flanges
to remove milk? Can be a clue)
Submucosal cleft palate or posterior tongue-tie.
Baby too underweight to be strong enough to do well. This is actually fairly
likely if no BM for 2 days at about 2 weeks of age with continued LOSS.
Would push supplement hard to get weight up ASAP and may take care of it.
Of course, then there are the zebras...like metabolic diseases.
Kathy Leeper, MD, IBCLC
Medical Director, MilkWorks
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