My 2 month-old daughter has a very poor latch. She has since birth. She is thriving however, gaining weight very nicely, mostly due to the fact that I have a plentiful supply and the milk basically pours in her mouth. I tandem nurse her 2 year old brother too, and he helps drive and maintain my supply.
She nurses with her lips pursed in, mouth barely open, hanging on (gently) to only my (large, but still) nipples.
This has caused me no problems (no nipple nor supply issues), but she swallows a lot of air and is very gassy/burpy (never thought such gigantic burps can come from such a small body!). She is also pretty refluxy which is new to me as ds never spit up.
Another issue caused by her sucking style is that she is a very poor bottle user. We have tried to introduce an occasional bottle (my milk, Dr Brown bottles, #1 nipple) and so far her record is one ounce, at a time when she was pretty hungry, fed by dh basically lying flat with the bottle held over her. dh tried lots of other holding patterns and this seems to be the one working best for him.
I am also trying to introduce a pacifier which may help with her reflux (as I read non-nutritive sucking/ saliva swallowing can lower acidity). Well she absolutely is not taking to the pacifier. I tried MAM, NUK and SOOTHIES.
Like with the bottle, she never creates a true suction around the nipple. her mouth is basically open as she basically licks/mouths the nipple on and off. She also gags on the nipples.
What is going on? Is it simply a training issue and shall I just keep at it? Can it be physiological (toungue tied or something? is this something I can see by looking?).
Any suggestions on how to improve her latch? At the breast I flip her upper lip out to make a fish lip, and I try pulling her chin down gently, but her jaw is very strong and I can't open the mouth much more. (she has strong muscle tension in her limbs as well, opening her fists or spreading her legs for wiping for example is really tough -- she also basically held her head since birth!!).