Just in case there is nothing wrong with his frenulum, would'nt this kid benefit from using a SNS?. It will reward him with a constant flow, and might encourage him to nurse more effectively. I've never used one, nor have I seen them being used, but from what I've read the tubes could be really small, and the bottle be placed low enough too require some effort from the baby's part. Just a thought. And now a question. Is there such a thing as a short tongue? At my last LLL meeting I saw a two week old baby girl whose tongue would not come out over her lower gum. She could turn it upwards though, so I did not think it was a case of short frenulum. I had talked to this mom before the meeting, when she was to have a doctor's appointment. I advised her to have the doctor check the baby's mouth (frenulum, palate, etc) because the little girl had never nursed. Doctor said everything is fine with her, but there aren't many pediatricians who are knowledgeable of breastfeeding basics in this country. At the meeting I encouraged the parents to observe other babies nurse, so they could have an idea of what a good latch looked like. We watched the Medela positioning video, and I worked with mother and baby with different positions and latching techniques. Luckily for me, there was another mother at the meeting who pumped and gave EMB for 2.5 months before her son finally nursed. Again, my experience has been mostly with "normal" breastfeeding situations. Lavinia Belli, LLL Madrid *********************************************** 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