You don't say much about the birth, except that there was an epidural. Was the baby posterior or in some other funky position? Was there prodromal labor? How long was the labor? Pushing stage? If optimizing asymmetric latch--getting baby's head really far back, rolling nipple in, etc doesn't solve the problem (which it usually does), then I would look at oral structure. And, likely refer baby for CST.
Jennifer Tow, IBCLC, CT, USA

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