I find this the hardest situation to deal with - the baby who slips down 
the nipple deliberately and chews mom up.  It often happens in infants 
with slightly tight tongues, high palates, and strong gag reflex.  If 
mom can hang in for a few months, relatching whenever it gets too bad, 
the pain resolves, but it can be very difficult.  A few things that have 
worked in the past for clients with this issue:

Using a mini haberman feeder and when baby can tolerate this, switch to 
the regular (longer teat) Haberman for "relief" feedings until baby can 
tolerate the feeder well in the back of the mouth.

Fingerfeeding to work on tongue movements, again as relief feedings, 
with whatever finger movements stimulate the best tongue grooving and 
peristalsis.  Sometimes this is pressure from the nail side of the 
finger against the posterior tongue as it humps up, sometimes it's a 
gentle tiny amplitude circular massage on the anterior tongue to keep it 
over the gum ridge.

Breaking the latch and reattaching the baby every time he or she slid down.

Encouraging mom to pump and alternate feed a few times a day as needed 
until the baby stops "killing" her, wide based bottles can be helpful 
for improving gape during alternate feedings and patterning a more open 
mouth posture during sucking (evenflow comfi wide; gerber comfort latch; 
playtex natural latch).  Avent's teat is too long and firm for this 
purpose, IMHO.

Using prone positioning and keeping firm pressure on the baby's shoulder 
blades.

None of these approaches is perfect, but they can help over time.
Catherine Watson Genna, IBCLC  NYC

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