I have a difficult time with determining the causes of sore nipples over = the phone and avoid using a blanket positioning statement since there = are so many factors involved besides mom and baby's = position:suck(disorganized,uncoordinated or coordinated,frenulum plus = all those "common" interventions used during labor/delivery and their = influence on babe and mom,and infant maturity and so on,not to mention = the normal changes that occur to the skin of the nipple with ongoing = breastfeeding.I prefer to see mom in person....positioning is easier in = person as well.(When there's thrush in babes' mouth and diaper area and = mom has sore,cracked nipple and/or venospasm I have felt comfortable = with the determination of cross-infection and this was from a mom = calling 45 miles away,and her 5th babe to be breastfed---she was so = amazed that she was having problems after nursing 4 others without a = gliche.I've heard this same comment from a co-worker when she got thrush = nipples from her 5th. Denise Ferrell,IBCLC