Nola--have you tried a nipple shield on that side? I would try having the nipple shield ready and folded back, pump to pull out the nipple (or have mom twiddle it out with her fingers), keep it pinched out with one hand, put the nipple shield on with the other, and hopefully the nipple shield would suck the nipple in and keep it out. In terms of folding the nipple shield back--make sure you turn the soft part as well as about half the teat part itself inside-out. Then when you place it on the nipple and unfold it, the nipple gets sucked right inside, ready to go. (I had read about folding it back a while ago but wasn't doing it right until recently--I didn't realize you had to fold part of the teat back also to get this to work--it's really nifty how much farther the nipple gets inside it.) Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin [log in to unmask] or [log in to unmask]