If this mother has tethered nipples that won't evert, you'd need to watch carefully that she has the nipple 'conduits' to transfer milk to the outside world. Very infrequently I have seen women with tethered inverted nipples that don't communicate to the outside world. These moms become engorged and the babies cannot take the milk, and mom cannot pump the milk out. Anne Anne Eglash MD, FABM, IBCLC Clinical Professor Dept of Family Medicine Medical Director UW Lactation Clinic University of Wisconsin School of Medicine and Public Health 600 N. 8th St. Mount Horeb, WI, 53572 608-437-3064 (O) 608-437-4542 (fax) 608-550-3054 (pager) *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome