Okay, so. I was reading through this thread last night, with everyone talking about lip ties... and I seriously think Norah has a lip tie. Her tongue is fine, but she does ALL of the things associated with lip ties - she tucks her top lip in, she gets the little bump in the middle of her upper lip, she latches and unlatches a lot, my nipples get that pinched look after she nurses, she flutter sucks at the end... I talked to my husband about it when he got home, and we looked up some more info and took a look at her lip. It's not a BAD lip tie, but it's definitely there, and my husband agrees. I think the only reason my nipples aren't destroyed is because I'm only nursing about half the day - I do always get pain initially though. I also read somewhere that a lip tied baby can have a gap between their front teeth after they come in, and I actually had that gap myself when I was young. My dentist even told me it was because I had some gum tissue between them, which is obviously part of the lip tie. My mom never breastfed me, so I wouldn't have known.
None of the LCs at the hospital ever looked in her mouth - everyone just assumed she wasn't latching because of nipple confusion from the bottles and just told me to use the shield. This is so crazy! Now I know why I have to usually give her an ounce or so from the bottle to top her up after nursing her - she would get so tired from trying to suck that she'd take tons of breaks and quit early, even though I could check afterward and there would still be milk coming out.
Now, I DO think she had some nipple confusion, don't get me wrong. But that issue is gone now, and her latch is still too shallow. Dealing with the lip tie will help, I know it will.
We have her one month appointment on Monday, luckily, so I can bring it up then. I'm going to just exclusively pump this weekend and add some pumping sessions in just to be sure I maintain my supply.
I can't thank you guys enough! I never would have known!