Took care of this couplet in hospital for 4 days everyday.  Latch was "ok".  
Baby did open wide.  Has a mild midline short frenulum.  Fast forward to 4 
weeks 2days old.  Home visit.  Gained 4 lbs.  Mom is still sore.  No signs of 
yeast on mom or baby.  When baby comes to breast, he does this open/shut, 
open/shut mouth movements.  Never a nice wide root.  He gets a bottle of 
EBM from Grandma at 4am.  Talked to them about not pushing bottle thru lips, 
but waiting for baby to open.  When he yawns he can certainly open wide 
then.  Nipples look ok but show signs of old cracks that have healed.  Using 
APNO, now.  Instructed mom on side lying position.  Baby can self latch and 
when they get a deep latch pain goes from "7" to about 4 or 5.  I am noticing 
that his tongue just stays at the roof of his mouth.  I have advised mom to 
not let him slurp his way onto the breast.  I think he has been getting away 
with this since he left the hospital.  The latch was much better then?  Has he 
just gotten into  a bad habit?  I have asked mom to wait for a nice gape.  I'm 
sure it will take a little while to re-learn this instinct.  How do we get him to 
bring his tongue down.  His palate is on the flatter side.  They don't want to 
clip his frenulum just yet.  We are giving it a few days to settle the sore 
nipples down, pumping every other feed.  Using the bottle to elicit a good root 
effort and then placing the nipple in his mouth.  He is appropriate in all other 
aspects.  He seems complacent to barely open.  He transferred 30cc in about 
5 min of have hearted nursing. :) I hope I have given enough info.  I am 
stumped about his tongue position.  Any ideas welcomed.

thanks,
stumped in Folsom Ca.
robin

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