If you suspect tongue-tie but aren't sure, you can ask the mom how nursing feels to her. I had a tongue-tied son and nursing him felt like he was sawing back and forth on my nipple. External observation showed a "good latch" and "excellent positioning". As he has matured, I see a rolling action to his tongue when he swallows. Sam's dentist has also commented on this. (I wish he had been Sam's dentist seven years ago!) I think the only reason I maintained supply was that I was tandeming him with his then 3-year sister. I think that her ability to bring down the milk also helped him to gain adequately, however slowly. Since I had another breastfeeding experience to compare to, I knew something "wasn't right" with Sam from that first nursing. For a mom's first experience to be thus, it may be tough for her to find the vocabulary to tell you what she is feeling. Just "sore" can mean so many things! As an aside, we also had thrush for many months. Possible infection due to nipple damage? I hope this is helpful to you in figuring out further how to help this heroic and overwhelmed mom! *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html