Lisa,  
 
I think this was discussed recently and I think Cathy Genna responded and  
suggested to center the nipple at latch so it doesn't immediately touch the  
palate and elicit gag.  The other possibility is the use of a nipple shield 
 if the nipple is pliable enough and can be comfortable inside the shield.
 
Barbara Latterner, BSN, RN, IBCLC

I have a post partum mom 2 days out, attempting to breast feed but her  
nipples are very long, probably the length of a thumb,I'm guessing. The baby is 
 trying but gags or pulls back only wanting to take in the end of the 
nipple. Any  suggestions? I am afraid that the baby will be unable to take as 
much tissue as  needed and cause discomfort for mom, pus not get the volume  
needed.

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