8 Reasons Why Your Nursing Baby Not Latching on is Causing Problems

Is your newborn baby having a difficult time latching on? Does your infant refuse to nurse? Learn about how a rare form of tongue tie called a posterior tongue tie may be the reason that breastfeeding is painful for you.

Hey y’all, Tiffany here.

When I was pregnant with my first child, breastfeeding was something I just assumed would happen.

It never occurred to me that I wouldn’t be able to nurse my child or that my baby wouldn’t latch on. Little did I know that feeding difficulties are one of the most important developmental red flags for infants.

1. The First Sign of Trouble – Our Baby Wouldn’t Nurse

I had a scheduled c-section due to my severe Crohn’s disease. After the birth, we tried to latch my new baby on. It didn’t quite work, and she didn’t get anything.

8 Useful Tips to Maintain & Increase Breastmilk Supply When Exclusively Pumping

Look at how little she was! She weighed 4.5 lbs

The certified lactation consultant and consultants took a look at her, then went and got the doctor.  It turns out that my daughter was born with a severe posterior tongue tie.

With a traditional tongue tie, there is a piece of tissue under the tongue that can restrict full movement of the tongue. It is usually vertical.

Her tongue tie was a rare variation, called a posterior tongue tie.

The tissue that restricted her tongue was underneath the skin that attaches the bottom of the skin to skin contact of the tongue to the bottom of the mouth. It ended up attaching almost her entire tongue to the bottom of her mouth horizontally.

She could barely lift her tongue off the bottom of her baby’s mouth, let alone reach the roof of her mouth to suck. This was why all of our babies won’t nurse.

The lactation consultants (LCs) had never seen anything like it. They asked the doctors, who were also confused. They told us that she would need to have surgery under anesthesia when she was six months old to correct it.

In the meantime, they gave us a nipple shield for my flat nipples and sent us home.

8 Useful Tips to Maintain & Increase Breastmilk Supply When Exclusively Pumping

2. Going Home

Once we were home, we did the best we could.  But the shield began to be extremely painful, and I would have to switch sides with Lizzy about every 5 minutes because the pain was so intense.

As a result of this frequent switching, she got mostly the lower fat foremilk.

This can lead to weight loss, malnutrition, and green poops. Since Lizzy was already so tiny, any weight loss could have been catastrophic.

8 Useful Tips to Maintain & Increase Breastmilk Supply When Exclusively Pumping

3. Finding an Answer

After two weeks of our baby not latching on, we went to see another LC, who has turned out to be a strong support and a good friend through this entire journey.

I am so grateful and blessed that she was the one who was assigned to us: she was the head of the lactation department at Texas Children’s Pavilion for Women and was extremely knowledgeable.

It was she who gave the name posterior tongue tie, which the regular doctors weren’t able to figure out when Lizzy was firstborn.

This LC knew of a pediatric dentist who could correct the tongue tie with a laser. This is known as a release or revision.

She was the only one who used this method, in the city of Houston. And I found out later that there aren’t very many in the U.S. who can do it.

I feel like it was a miracle that this particular dentist was not just in Houston, but only about 30 minutes from our house.

We took Lizzy in to see her right away. She was three weeks old.

The laser cutting went well. And by that, I mean it was the most horrific thing I have ever experienced. But it worked.

However, after three weeks, we noticed that a few drops it had been re-attached, and we had to go back a second time. Exploring other, alternative feeding method methods became imperative as we sought a solution to Lizzy’s feeding challenges.

Feeding Lizzy with a syringe.

We got a breast pump through the insurance company, and every time she ate, I would pump. I would use these tips to increase my milk production and not affect my milk supply too.

This feeding routine was very difficult, though. When your baby won’t latch on, you spend a lot of time trying to figure things out.

Each syringe only held about ½ oz of milk, and she would eat 3-4.5 oz each feeding. It was a thin feeding tube and a time-consuming process, each cup feeding took 30-60 minutes.

At night, it was always an hour long because she was tired.

This was so hard. She would wake up, I would get her wet and dirty diapers and syringes ready electric breast pump (15 min). Feed her for an hour, put her back to sleep (15 min), pump for 30 minutes, and then clean up, washing all the pump parts and syringes by hand (15 min).

This whole breastfeeding process took almost 2 1/2 hours. I would get 30–45 minutes of sleep before she woke up ready to eat again.

I did this for two weeks until I was so completely exhausted I had a breakdown.

One of my mom’s friends, an extremely dear woman whom I love, flew down from Denver for a week to help me out. She would get up and feed Lizzy at night, and I would pump.

It was amazing!  All of a sudden, I was able to sleep in two-hour blocks instead of 30-minute blocks!


When she left, I asked my husband Phillip if he wouldn’t mind taking over the nighttime feedings while I pumped.  He is such a good man – he didn’t even have to think about it.  He just did it, without complaining or murmuring at all.  And he never threw the “I have to work full-time” card at me, which I love him dearly for.

5. Hopes Dashed Again

By the time Lizzy’s mouth had healed all the way, she was 9 weeks old. It was a bit costly to do the corrections, but we were able to itemize the medical expenses on our tax returns.

But although her mouth had healed physically, her mind had not.

Lizzy had become so traumatized by our attempts to breastfeed that she just cried whenever she saw my breast or her lips touched my skin-to-skin again. This time was probably one of the darkest, most heart-breaking times of my life.

By the time Lizzy healed, it was obvious she wasn’t going to latch on anytime soon how much milk, so we started looking for another way to feed her. Exploring other alternative feeding methods became our priority as we searched for a solution to ensure Lizzy received the nourishment she needed.

6. Having to Adapt

Lizzy’s suck was weak, and she would lie there with her mouth open, waiting for us to push the milk in.

This was a problem because it could cause difficulties with solids and speech later in life.  We saw an occupational therapist, who gave us some exercises to do and suggested we start using a bottle.

8 Useful Tips to Maintain & Increase Breastmilk Supply When Exclusively Pumping

We settled on the Medela Calma bottle. It had a series of chambers that opened to allow milk to come through the nipple ONLY if the baby created a vacuum.

This meant Lizzy had to suck.

She was pretty angry with it the first time we used it, but she figured it out after about 10 minutes. It turned out to be worth the cost of about $20 for 1 nipple and 2 8-oz bottles.

Her mouth and tongue are a lot stronger now – she could eventually finish a 6 oz bottle in about 10 minutes, whereas before it would take her over an hour to take 3-4 oz.

At times, I would try to latch her on. And she would sometimes root around my breasts when she was tired or hungry. But then I got thrush, which I didn’t want to pass it on to her. Instead, she became my pump buddy and tried to chew on the flanges!

8 Useful Tips to Maintain & Increase Breastmilk Supply When Exclusively Pumping

She finally began to put on weight and grow!

Having to pump turned out to be a blessing in the long run. This taught us a big reason why God allows bad things to happen to good people.

When she was three months old, my Crohn’s caused some complications. Then I was hospitalized on and off for five months. Being able to pump milk while in the hospital allowed me to keep giving my baby breast milk.

7. Success!

Now my little Lizzy is five years old, and she is thriving!  Her brother, who is now two, also had the same posterior tongue tie.  Thankfully, I knew what was going on this time, so I was able to correct it much more quickly!


I still ended up pumping due to health reasons but I didn’t have any of the stress because I knew what I was doing.

Now my goal is to share this information with as many soon-to-be mothers as possible. This is so they can learn from my struggles!

Posterior tongue ties are not very well-known, still, and are often ignored or misdiagnosed.  There are also more pediatric dentists now who do laser cutting to correct tongue and lip ties.  These are all part of the genetic defects known as “midline defects.”

Having knowledge about what causes nursing issues empowers mothers and gives us confidence.  If my LC hadn’t told me what was going on, I would have felt like a failure.  Now, I can feel pride in doing all that I can for my children.

8. Don’t Feel Like Failure If Your Baby Doesn’t Latch On

I designed this blog post to give encouragement and hope to those who are going through feeding difficulties and are ready to throw in the towel.  Hopefully, I can inspire and uplift those who are struggling but want to continue.

I want to be clear, however: if you are not able to nurse for whatever reason, or give your child breastmilk, that is okay.  What matters most is that you love your baby and that your baby feels your love.

Another version of this post written by Tiffany was originally published on Breastfeeding Confidential

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  1. I had to express feed my first child and my first set of twins. I agree was very difficult and hard but still rewarding that they for my milk. My second set of twins however have gone straight onto formula because they wouldn’t latch and I didn’t have the time to express with another set of twins under 2.

    1. Wow, two sets of twins is incredible – and to have four kids under the age of two! Super mom!! And fed is defintiely best, so good job mama.

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