This could be breast hypoplasia which may result in primary lactation insufficiency. I hope not and baby will grow to reach over the nipple to the milk sinuses. I do not think nipple shield will help in this case. I would try different positions and latches, some babies do much better in sidelying next to mom. But I would DEFINITELY follow the rules of 1. feed the baby (good that the supply line is working and baby gaining, 2. protect her supply with a hospital grade double electric pump. I would closely follow to see what her supply is and if baby does more drinking at breast. Did this mom experience postpartum breast fullness/heaviness/hardness/engorgement? Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html