Kathleen, Below is a past post from Cathy Genna I've saved that may be of help. The response for CST sounds good and perhaps an OT or SLP could help. I've suggested below to moms but follow through is minimal, so don't have experience with it working. A nipple shield might temporarily help if baby is rubbing the nipple, but not if clamping. Is this mom sure frenulum isn't restricting? Who's evaluated for this? Could be the often missed posterior ones. How has this mom managed for 3 mos with nipple pain/damage? Poor mom. You also mentioned abundant supply, might prone positioning help? Side lying so baby in control? Letting baby be in control worked recently for mom/baby who await frenotomy. "Occupational therapy trick for hyperactive gag: Tickle baby's lips so he opens voluntarily. Slide finger to palate, press firmly just behind the upper gum ridge (the very front of the hard palate), wait until baby relaxes, slide finger back further along the palate as accepted. If child starts to gag, retreat to gum ridge again and press strongly. Obviously one wants to use this sensitively, and teach parents to watch baby's cues to make sure that it is being accepted and tolerated. -Catherine Watson Genna, IBCLC " Barbara Latterner, BSN, RN, IBCLC *********************************************** 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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html