Is baby pulling off, or falling off?
If baby is pulling off and squirming, he could be uncomfortable. Look 
into difficulty handling milk flow, reflux, allergies (I see you already 
looked into dairy). Another possibility is that baby has narrow nares or 
choanal atresia (the openings in the skull for breathing through the 
nose are not fully open) and has to let go to breathe. He could also be 
having difficulty with his soft palate (velopharyngeal dysfunction), 
will usually have milk drip from the nose or come out the nose during 
vomiting, and have harsh respiratory sounds during and after feeding if 
this is the case.

If baby is falling off, look for tongue tie or submucosal clefts of the 
soft palate. He could be squirming because mom needs to hold him closer 
so he can grasp the breast again when he falls off.

If you bring them back in to refine the latch (always a good idea), 
watch his coordination of swallowing and breathing and his respiratory 
pattern, and let us know what you observe.

Catherine Watson Genna, IBCLC  NYC

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