Elizabeth, Although I mostly work with younger infants, I have had some luck with using the suck training techniques as taught by Chele Marmet for babies that hump up their tongue. Using the most appropriately sized finger (no long fingernails) , pad up I elicit a root and GENTLY introduce the finger along the palate so as not to gag the child. I slowly stroke back just a little on the hard palate then down on the tongue and usually within a minute or so the child learns to stick out his tongue more to suck on my finger. If possible I have EBM in an orodontal syringe to reward proper sucking action. The technique needs to be taught to the mother with a return demo so that she can remind the child when required. I stronly reinforce the need for mothers to follow-up at the WIC breastfeeding clinic as these women leave the hospital so soon after birth. Hope this helps, Sharon Coe LVN IBCLC