Hi, my daughter is 1 month today. She was born 16 days early weighing 7lbs 10 oz. At first she could not even latch and we gave colostrum in a cup and spoon. Since she has been able to latch, but painfully because she clamps down with her teeth. We went to a lactation consultant who identified a posterior tongue tie. They said latch was fine, but she was weakly sucking, using her gums to clamp, no audible swallows, and only consumed about an oz of milk over SEVERAL minutes before fatiguing. She also hadn't returned to birth weight.
Since then I have been pumping, bottle feeding, and still offering breast. We also got her tongue tie fixed via laser on Wed. She is 8lbs 7oz now, and I hoped once we past her due date and birth weight it would click, but to no avail. She still often cries or rears back from the breast, gently sucks while using her gums, or just falls asleep at the breast. I have big breasts and nipples on the flat side. It is so sad to me that we can't just nurse together effectively, and the time it takes to pump, nurse, and bottle feed every two hours is draining. I want to nurse badly, but not if it strains our relationship and my sanity. Any advice on improving milk transfer when you can't exactly see what's going on in that little mouth?
I do have nipple shields but I am hesitant as milk supply is a concern. But we have used them, but even then, no audlble swallows.