Thanks to everyone who has responded re this baby. It is wonderful to have this resource in which to bounce ideas and worries. Update: The mother saw NP at the clinic today. She gave me the # of the clinic and I called and got the fax # and faxed my report so that the NP would have it when she saw the baby. According to the grandmother (mother was at a class this evening), the NP gave her a referral to an SLP to assess the feeding. So hopefully they can get an appointment for that soon. The grandmother said that the mother was very pleased with the NP and felt that the NP listened to her -- that she agreed that the tongue could be causing the problems. She said that the NP didn't seem to think reflux was the problem, but did start the baby on some reflux med. The mother told me this morning that the father was able to get the baby to take an ounce from the bottle with a medium amount of effort this morning. (just to give mom a break -- remember, she's been in pain for over 4 weeks). Mom stated that cutting off the flow with a scissor hold (I forgot to mention that I taught her that as well) worked very well and had the baby staying longer at the breast, without arching. Still painful though. They are still doing the tongue exercises and pacifier tug of war. Maybe seeing a slight improvement, but not much to notice at this point. Anyway, thanks again. I'll give an update when I know more. Cindi Swisher, RN, IBCLC Colorado Springs, CO *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html