I'm nursing my 3 month old adopted son with a medela sns. I'm pregnant as well and am expecting in about 5 weeks so I should be able to drop the sns at that point. My problem is that nursing is soooo slow. He'll take 1 hour to 1.5 hours per nursing session (fwiw I'm using the large tubes). He's a little faster with a bottle with a slow flow nipple but still quite slow (~45 mins). I've been afraid to introduce a faster nipple for fear that he would give up on nursing. In general he seems happy and sleeps well, sometimes maybe a little too well.
I'm pretty sure that his latch is fine. He's the fourth baby I've nursed and I took him to the closest thing to a lactation consultant in my town just give me a sanity check.
He's quite small for his age (3rd precentile) but he may just be a small person. He's also a little delayed on some of his milestones and he may have some effects from alcohol or drug abuse during the pregnancy. He was also a foreseps delivery so there might be some damage from that. We've run a bunch of blood tests on him but that hasn't provided any clues. My dh is a GP so he's under a doctors eye.
I'm concerned that when I attempt to drop the sns and nurse the regular way he's just going to fail.
Do you have any suggestions for what I can do to encourage him to be a little stronger and nurse a little faster?