I just had a patient with a similar problem. I saw her and her baby one week after birth. The mother had sore nipples, and the baby had an attached frenulum. I explained the problem concerning it and breastfeeding, and went on to relate to her that her pediatrician (who has 8 children, all of whom bf for 3-4 years), would not clip it, despite being given all the information I had on this subject, including the article from JHL. I told the patient that the ENT and oral surgeon in our town would clip the frenulum with no hesitation. The patient stated that she and her husband wanted it clipped. She went to the pediatrician about it, and he would not clip the frenulum as predicted. She did not do anything for one month. Breastfeeding continued, with increasing supplementation. The patient and her husband were having dinner with another physician, who is an OB/GYN, and he told her that where he is from, the OBs clip all attached frenulums at birth (he is from Ohio). He did clip the frenulum the next day. This is something that may need to be considered, since pediatricians are reluctant to clip frenulums. Maybe OBs are less hesitant? By the way, the patient stopped breastfeeding, but would she if the pediatrician agreed to clip the baby's frenulum? She is very upset about weaning. This is her second baby, and she did not bf it as long as the first baby. Sharon Gollman, RN, BSN, IBCLC *********************************************** 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