She could just continue to offer a cup. 4 month olds can become pretty skilled with the cup. I've sometimes had success with the mini Haberman feeder for babies with exquisitely sensitive gag reflexes. The teat is short and does not seem to stimulate the gaggy spot of the palate, and the flow is controllable. Those high palates are generally caused by restricted tongue movements, from either tongue tie or a short lower jaw (in a healthy child, many genetic disorders also feature high, very unusually shaped palates). Catherine Watson Genna, IBCLC NYC *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html