Doris, a lactation consultant in training (we work together), is
presenting a case complicated case.  Maybe you can help us.

Mother has flat nipples.  After vigourous pumping, the nipple will
protrude some, for a short duration.  But baby (6 days old) has refused
the breast from the beginning and will NOT bring his tongue forward.  Has
been finger feeding from the start, no artificial nipple, no pacifier.
What can we do to convince him ?

Louise Denhez, M.D., M.P.H
Chargee d'enseignement clinique
Departement de medecine sociale et preventive