Hi, This came up for me on my Saturday morning rounds (I'm on call this weekend). I have a mom with "bulbous" nipples with very tiny aerola (almost mushroom like in appearance). She is day 2 post partum and had a C-section due to fetal distress. I need some suggestions on latch with this babe and mom. Especially how to get a nipple farther in the mouth that is more wide than long. Baby is not opening mouth very wide (looks like other post epidural babies I have seen). Consequently he is tip feeding (actually sucking nipple rather than massaging the sinuses) and mom is getting very sore. TIA, Pierrette Mimi Poinsett, MD FAAP Modesto CA *********************************************** 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