In the new Breastfeeding Atlas by Barbara Wilson Clay and Kay Hoover, 
they mentioned a very large-breasted woman, sitting at a table and 
setting her breasts and the baby on a tabletop (probably on a warm 
blanket) to work on the latch.  While certainly not the first approach 
to try, this seemed like a useful next-order idea, since it would 
stabilize the loose, pendulous breasts and make the baby feel secure.  
Once the baby was latching and the mother was getting a feel for how to 
do the dance, the dyad would certainly move onto more conventional 
positioning, but sometimes you need a little bit of success to build on.

Great book, by the way.

Margaret Wills, LLLL, IBCLC

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