When I
>observed a feeding this week, Mom reports baby does a lot of clamping,
>with resulting nipple pain for Mom.  Latch and positioning looked good,
>but when baby released her latch, I noticed the imprint of her upper
>gums on Mom's areola.

I would suspect a tight labial frenulum (under upper lip).  These can be
clipped, but are more of a challenge than the lingual frenulum problems.

I had 2 mothers last year (within the same week) with this problem.  Both
mothers chose to feed in the upright, clutch hold and not have the frenulum
clipped.

There have been a few posts on this topic and you might be able to find
them in the archives.

Pat Gima, IBCLC
Milwaukee, Wisconsin
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