Yesterday I went to see my client with her 3 weeks old baby. I posted a story about her already, but I will tell you what I saw. The baby is well attatched, when the feed was finished, you could actually see where the mouth had been, it had taken lots of areola and the nipple had been centred. However the Mum complained of nipple pain and pinching continuously throughout the feed. We tried reattatching a few times, but it made no difference to how Mum felt. The nipple looks as if it has been pushed to one side (looks worse on the right nipple) and the breast tissue looks as if it is occasionally being pulled to one side when the baby is sucking. The tongue is forward on attatchment and at times during the feed, but sometimes it would disappear during the feed. There are no anatomical problems in babies mouth. Mum has flattish nipples. She has taken away the dummy with no noticable difference to the feeding as yet. Baby feeds well at night, mum has no nipple pain. I suggested suck training, changing positions and if in a few days all else fails, a nipple shield. I really would appreciate it if any one thinks they can offer me any other tips or thinks I am on the wrong track. Val in Busselton, Western Australia RN RM IBCLC