Hi all,
Sorry it’s a long one but it’s better if I fully explain.
So our little boy is 15 weeks today and I’ve been exclusively breastfeeding him. Since he was born I’ve always struggled with a shallow latch. He initially had a posterior tongue tie which was cut when he was a few weeks old and the IBCLC who did it suggested laid back nursing to help him achieve a deeper latch, which is the position I’m still using now. The way I’d describe it is that I’ll line him up nose to nipple, he’ll open wide and latch, outwardly it will look like a good latch, but if you look closely at his lips, he’s somehow closed his lips around the nipple at some point during latching so he’s sipping it, and I’ve never been able to get him to not do that and keep his mouth wide no matter what I try - that includes using a finger to pull his chin down. Nipple will come out slightly lipstick shaped and I’m sure I’ve had vasospasms. So over time I just got used to it because it was only causing slight friction, not enough to cause actual pain, and I’d not needed nipple cream in a while - I thought it was a combination of his mouth getting bigger and my nipples getting tougher. I have fast/forceful letdown sometimes so I wondered if a continued shallow latch was due to this too.
However we’ve been experiencing what we think is the 3 month breastfeeding crisis for a while now, I’d say since 7 weeks old and he’s still a bit fussy - latching and delatching, smushing head into my breast and moving his head left to right while still latched so that combined with a shallow latch, I’ve been getting nipple pain again because he’s been a bit rough with this behaviour. Sometimes it’s impossible to latch him because he’ll smush his chin down towards his chest which is the opposite of what I need him to do! The only thing that will avoid this behaviour is feeding him when he just wakes up or when he’s really hungry (waiting for crying as a late cue) where he’ll feed much much better.
Throughout all these challenges it’s never worried me because I’ve thought “well it’s ok because if breastfeeding ever becomes too much, I’ll pump and bottle feed/formula instead”, only last week we discovered he now won’t take a bottle! Meaning trying to just stick it out as long as I can with EBF has gone from being a choice to being the only option currently. We’ve tried me leaving the house and we’ve tried 2 different teat shapes so far - Dr Browns Narrow size 1 and Lansinoh Naturalwave. We’ve had some success with putting the nipple in his mouth but he won’t suck and will push it out with his tongue. Exact same when we’ve tried to offer a dummy.
This has got me really concerned about what will happen when he starts getting his first teeth - will I start to struggle with the shallow latch and it become more painful? What if at our next weigh in he’s dropping weight due to the fussiness? In both of these, I can’t supplement easily if he’s bottle refusing… 😬
What I’m looking for is advice re the shallow latch or the bottle refusing and/or people who had a very similar situation as me (shallow latch they could never correct despite help from an IBCLC) and it still turned out ok once teeth came through..?
Thanks in advance for any replies 🙂