Hi Jeanette, I think the high palate is the result of the tongue-tie preventing the tongue from elevating against the palate to help it spread laterally and flatten. In the situation you describe, I like to use a modified football hold with the baby wrapped around mom's hip, facing her side, and baby's lower lip about a half inch under the nipple. Mom plants that lower lip on the areola, and waits for the mouth to open wide, then pulls the baby on by the shoulders to get a deep latch. If mom leans back, gravity helps hold baby against mom's chest. If done right, baby's head will be a little extended, and the latch will be asymmetrical, with more breast tissue over the tongue and less under the palate. This gives the baby leverage to press the breast against the superior alveolar ridge (upper gum) and anterior palate with his tongue. The more breast in the mouth, the less the tongue restriction seems to matter, because when the mouth is more full of breast, the tongue has to lift less to press milk out of the breast. Can you picture that? -- Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html