Barbara - what a wonderful lesson you wrote for us all on the relationships
between the baby's condition and the protractility/protruberance of the
mother's nipples (or the lack thereof) to illustrate some of the differences
between what is described as "nipple confusion" and a smart survival
decision on the baby's part.  I particularly enjoyed your identification of
the "turn-on" function of the nipple (stimulation to the palate) and your
confirmation that these kinds of latching difficulties are able to be
remedied (as I have also observed) so long as the mother's milk producing
capacity is protected - in other words, where there's milk, there's hope!
I've worked with three of these difficult combinations in the last week, and
was beginning to wonder if I'd lost it! Thank you for your dissertation,
which I have found so encouraging!

Pamela Morrison IBCLC, Zimbabwe