Milk Transfer issues like
Weak or disorganized suck
difficulty opening mouth wide enough
choking, trouble protecting airway when swallowing etc,
Many of these issues can lead to poor weight gain and a decreased milk supply.
Here are some resources I've found helpful
I'll post more details later but wanted to get this up before my computer crashes again. I hope others will post to this thread too and maybe it will get stickied.
I'm posting this because I have had some extensive challenges nursing my Son who was born Mid March 2014.
He lost too much weight during his first 5 days and we had to supplement. We used at the breast supplementation. The Dr didn't look into reasons for the weight loss and later poor weight gain, it was largely attributed to me and a poor milk supply but I was offered no help in figuring out why. The supplementing masked the true cause (my poor milk supply was actually really a symptom) which turned out to be tongue and lip ties but since they were not diagnosed early and the correction didn't happen till 8 weeks, we also needed to get some physical therapy to re-train his oral motor skills. We have been getting therapy from a speech therapist and doing exercises 5 times a day for a couple weeks and we are just now starting to see some signs of improvement.
I had a heck of a time figuring out where to go to get my son treated and then who to go to for therapy since only some IBCLC's seem to be experienced in suck-re-training of older infants. Seems most LC are more experienced in newborns and dealing with initial latch issues and not necessarily how to deal with teaching an older infant how to use newly freed up muscles. With the help of our WIC LCs I did finally find a speech therapist who does work with infants and breastfeeding issues.
If anyone out there reads this early on I advise having baby specifically checked for tongue and lip ties before even leaving the hospital, even if nursing doesn't seem to hurt much. Tongue ties are best treated ASAP since the longer you wait the less likely that the improvement will be instant (the longer they have to learn to compensate in order to eat, the harder it will be for them to Re-learn to nurse without hurting mommy.)