In a message you wrote:
<<Date:    Fri, 14 Feb 1997 13:49:42 -0600
From:    "Patricia Gima, IBCLC" <[log in to unmask]>
Subject: pendulous breasts/flat nipples
>>
Have you tried "inverted nipple hold" (Marmet and Shell): gently grasping the
areolar tissue at its margin to shape the breast into a wedge that is held as
rooting is elicited, gives holder more control to place the nipple deep in
the baby's mouth at latch. This works better when that soft nipple you
describe is erected (as you mentioned: pumping and nipple stim) just prior to
latch, and breast is elevated with small roll underneath and secured in place
while baby feeding.

Deborah Tobin