Re: IBCLC with nursing challenges. Thank you for sharing your heart with us!
I just wanted to post that I encountered a somewhat similar scenario. Second
baby, uneventful natural birth. Called at 9 nine days with no weight gain.
Mom had longish nipples, baby found to have a shorter than average oral
depth, recessed chin, and sharply sloped soft palate. Baby had an aversion
to the nipple touching his soft palate, where it needed to be for a deep
latch. So baby had been backing off the nipple after initial latch, sliding
down to a shallow "comfortable" latch (for him), albeit nonnutritive latch.
He was essentially just pacifying himself on the end of a lengthy nipple.
After consult, mom began postpumping, refeeding EBM through SNS each feed,
and sustaining deep latch rather than letting him slide down to his
"comfort" (nonnutritive) zone. His weight - and her supply - turned around
and he was off SNS by nine more days. "About as many days to fix a problem
as to develop one." (JHL I believe?).What happened: short oral depth, sharp-
sloped soft palate, mother's long nipples, aversion to pressure on his soft
palate, mom letting him slide down, decreased intake, lowered his weight,
compromised his suck by making him weaker, compromised milk supply through
weak suck and decreased extraction. Turned around by postpumping (increased
extraction), SNS (get more volume in him), correcting and sustaining deep
latch. Baby's intake up - his strength, suck, and weight went up.
Postpumping and correcting latch - mom's supply went up. [Many thanks to Dr
Palmer and his research on the oral cavity and emails re this case. ] Mom
continued to correct latch as often as 50% of their nursing sessions,
pulling him closer to sustain deep nutritive suck, throughout their "nursing
career." HTH, 

Marie Farver

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