I feel like I've sort of been running around chasing every possible source of our problems...and it's time to take a breath and regroup.
A quick summary of us: my daughter is 3 months old (today!). I started out with an oversupply and was coached to block nurse to regulate it. I did that for several weeks and my daughter started to become fussy during nursings. After emailing with Dr. Newman, it seemed apparent that my "flow" had slowed too much for her liking and his suggestion was to increase my supply, thereby increasing the flow. Domperidone was his suggestion for that.
In the midst of all of that communication, in working with a great IBCLC, I've also realized that my daughter is mostly chomping and pinching during feedings, not sucking/drawing the milk out strongly. The majority of the milk she drinks is during letdowns or because I'm constantly doing breast compressions and squeezing the milk out for her.
I've started taking Dom (and more milk plus tincture) have more milk available for her, but I'm at a bit of a crossroads with it. I'm taking 2caplets times a day, which is more than my prescription was written for, but less than Newman recommends. So, I either need to stick with the dose of the RX I have or order more from overseas, which I feel a bit nervous about. I haven't seen much increase yet from 3 days of the Dom. I'm also pumping after feedings about 3-4 times a day, in addition to breast compressions during every feeding.
Our IBCLC thinks there's a chance she has a slight posterior tongue tie (iBCLC admits that those are not her area of expertise) and is checking around our area to see if anyone would treat it. So, that may be the source of her weak suck/latch.
Long story short, I really don't know where to go from here. If there is a tie and we can get it clipped, that's obviously what we'll focus on. If not, is it possible to teach a baby to use her tongue properly? The LC says there is very little peristaltic movement...just chomping. And, as hard as I try, she very rarely latches on deeply. So much of her nursing is chompy, pinchy nipple feeding. I'm embarrassed that we're just now dealing with this, but in her earlier weeks she was gaining great and I had (and have) no pain at all, so I figured all was ok.
Thoughts? Advise? Thank you!