Hi Elaine! I'm Cindy from Lansing. I've got a couple of thoughts about the baby with the tight jaw. I'm sure you know all of this. Look at the tongue, frenulum, can and does tongue come out over the lower gum, and do you think it can easily stay there during a feed. WHat's baby's position? I always remember Pat Schulte saying that what's in the hips is reflected in the lips--or is baby in flexed position. A simple technique used by some OT's is to place the finger tip at lower lip to get baby to reach tongue out to finger. Dad can do this in between feeds or Mom just prior to feed. It worked like a charm in a couple of traumatized nipple cases but I do not remember if they clamped-- One of my co-workers had a baby (10# at birth) who clamped and drew blood, during the first days, plus had to go under the home bili light. It scared her off, (the blood) , so she pumped and gave in a bottle with M____ nipple until she had the courage about a month down the road to try again. Those of us who were her BFing cheerleaders, I guess, just tried to empower her, that it wasn't all over, what a great milk supply she had etc. Everything was fine, when she tried again and that was nearly 2 1/2 years ago and she is still BFing. (This was her 2nd baby and she considered the first BF experience a flop.) Every once in a while I have 2-3 clampers in a row and it makes me wonder what new drug they are using in L& D. I'm going to e-mail you soon re: your advice about clinicals for my Masters.. A T- storm is coming your way. .Cynthia J. Church RN,BSN,IBCLC