Rita, Thanks for the massage technique information. We started using pressure on the chin, using a finger cot for traction. Baby A is now doing well. Baby B is doing better but, it is still a struggle. Mom has decided that when she gets too tired or sore with Baby B, she will pump the feed and give a wide based nipple to encourage a wide open mouth. She does not really like the idea of bottle feeding, even expressed milk, so I do not think this will really interfere with the feeds, just give her the breaks she needs. Thanks for all of your help. All the Best, Linda Pohl, IBCLC Phoenix, Arizona USA [log in to unmask]