Thanks to all for your suggestions.  I got to this house expecting the
worst case scenario.  I sneaked the babe into bed with mom (no, they do
not co-sleep) while she was still asleep.  She latched right on and
nursed away!!!  We did not use the shield.  The only real problem I saw
was that baby "fidgets".  She has her arms going all the time.  Not
flailing, just moving, and in the process, pushs the breast away.  I
don't think it's OAL.

I helped with the rebirthing bath, my first.  It was OK.  I will go back
on Friday for a f/u visit.  I think this mom is just too busy.  I hope
she will spend the next 2 days in bed with the baby.

Any ideas on the fidgety behavior?

Royce Anderson, RN, IBCLC in cool, fall-like OKC