While feeding challenges are often described as normal newborn behaviour, persistent latch problems usually have an underlying cause. Feeding is not instinctive in the way many parents are led to believe. It is a complex motor skill that relies on physical readiness, neurological coordination and freedom of movement throughout the feeding system.
Claire is a UK-registered osteopath at Key Osteopaths with a clinical focus on babies, infant feeding assessment and tongue function.
She holds a Master of Osteopathy (M.Ost) from the University College of Osteopathy, qualifying in 2017, and is registered with the General Osteopathic Council (GOsC No: 9780), the statutory regulator for osteopaths in the United Kingdom. She is also a member of the Institute of Osteopathy and undertakes ongoing continuing professional development in paediatric and cranial osteopathy.
Claire has completed additional training in infant feeding and tongue tie assessment, including the Baby-em Infant Feeding and Tongue Tie Course and the Infant Colic, Reflux and Allergies Course. She is trained to assess tongue function using recognised tools including the Hazelbaker Assessment Tool and the Bristol Tongue Tie Assessment Tool, assessing both the appearance and functional movement of the tongue.
Claire regularly supports babies presenting with feeding and latch difficulties, suspected tongue tie, reflux or wind, feeding discomfort, and musculoskeletal tension affecting the head, neck or jaw. Consultations include a detailed birth and feeding history followed by a structured musculoskeletal and functional assessment.
Where appropriate, she uses gentle cranial osteopathic techniques to support mobility and reduce tension in the head, neck and jaw. If a tongue restriction is suspected, Claire assesses function and refers to appropriately qualified tongue tie practitioners where needed. She works collaboratively with IBCLCs, tongue tie practitioners and NHS breastfeeding support services to help families access the most appropriate care.
Claire completed safeguarding training during her osteopathic degree and maintains paediatric first aid training. Osteopathy is a regulated allied health profession in the UK, and Claire practises within UK professional standards, recommending medical referral where symptoms fall outside the scope of osteopathic care.
A poor or shallow latch is one of the most common feeding difficulties we see. Babies may struggle to take enough of the breast or teat into the mouth, leading to reduced suction and inefficient milk transfer. Latch may appear unstable, with babies frequently slipping off or needing repeated attempts to reattach.
Shallow latch often reflects restricted tongue movement, jaw tension or difficulty coordinating head and neck positioning. Over time, this can make feeding harder work for the baby and less comfortable for the parent, particularly during breastfeeding.
Clicking noises during feeding usually indicate repeated loss of suction. Babies may briefly latch well but struggle to maintain a consistent seal, resulting in audible clicks, milk dribbling from the mouth or frequent breaks during feeding.
This pattern is often associated with limited tongue elevation or endurance. Babies may compensate by using jaw pressure or lip tension, which can further disrupt feeding rhythm and increase air intake. These compensations allow feeding to continue, but usually at the expense of comfort and efficiency.
Some babies feed very frequently yet remain unsettled or appear hungry soon after finishing a feed. While frequent feeding can be normal during growth phases, ongoing hunger despite regular feeds may suggest that milk transfer is inefficient.
When feeding requires excessive effort or suction is poor, babies may not obtain enough milk during each feed. This leads to shorter intervals between feeds, increased fatigue and frustration for both baby and parent.
Feeding fatigue occurs when babies expend more energy feeding than they gain from the feed itself. These babies may begin feeds enthusiastically but tire quickly, falling asleep or disengaging before completing a full feed.
Fatigue can be linked to restricted tongue movement, inefficient latch, increased jaw effort or disrupted breathing coordination. Over time, repeated fatigue can affect feeding consistency, weight gain and overall feeding confidence.
In the first days and weeks of life, early feeding signs can provide important clues. Difficulty latching, repeated attempts to feed, clicking noises, excessive wind or unsettled behaviour during feeds may indicate that feeding is harder work than it should be.
Some babies appear to feed frequently without settling, fall asleep quickly during feeds or become frustrated soon after starting. While these signs are sometimes described as normal newborn behaviour, patterns that persist or worsen often suggest that feeding mechanics need closer assessment.
When feeding difficulties continue despite reassurance, positioning advice or time, further assessment is appropriate. Ongoing latch problems, persistent reflux-like symptoms, feeding fatigue or distress around feeding can indicate that underlying physical or coordination issues remain unaddressed.
Persistent feeding difficulties can affect a baby’s comfort, feeding confidence and family wellbeing. Seeking help at this stage allows contributing factors to be identified and addressed, rather than relying on trial-and-error approaches that may prolong feeding stress.