Caren, Yes, I've showed her how to manipulate both upper and lower lips while the child is latched on. I've suggested that she hold the baby closer to prevent his moving them out of position and mom is very compliant. His suck is fairly good although he could cup the breast better with his tongue. It is just visible when he is nursing. His palate has a small bubble at the front, and he is very verbal about being taken off to reposition but mom has also agreed to do this. She does break suction before taking him off the breast. I appreciate the suggestions. Thanks for the response, Sharon Coe LVN IBCLC