I would bet that this mom is still having trouble, and not realizing it, with obtaining a deep enough latch for baby. I've often found that I can assist mom and baby to obtain a deep latch, but then need to have mom help baby latch without my assistance, a couple of times before the visit is over, so that mom really knows how to do it. I see moms who continue having difficulty because they put their breast in baby's mouth rather than bring baby to breast with head somewhat extended so chin first occurs with latch. Then poor baby is left trying to mouth the breast without that stimulation further back on his palate and wags his head back and forth in frustration. I tell moms it's like trying to get a big fully inflated balloon in ones mouth and that's next to impossible. Breast shaping, as in breast sandwich technique, can help baby to get a mouthful more readily. And, of course, it always seems that babies who have trouble latching who need deep stimulation, have moms with large, soft breasts and flattish nipples or moms whose breasts are very taut and this lack of elasticity makes bringing the breast in more difficult. So, I'd suggest you see mom again and try to have her practice while with you, even if it takes a couple of feeds for mom and baby to get it. Depending on baby's and moms frustration levels, a shield could be a useful temporary tool if latching without doesn't happen consistently. Often baby needs a few consecutive breastfeeds before he realizes and is assured that breastfeeding will give him what he needs. This mom could also try bringing baby to breast before he's fully awake, walking or just standing up so her breast falls naturally and baby is underneath; I've had these methods work when the cycle of stress of latching needs to be broken. Making sure there is no tongue restriction or other anatomical difficulties is important, too. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ When I did a home visit and observed what baby was doing it appears he is getting frustrated by trying to form the nipple enough to get it to hit that sweet spot to stimulate his sucking reflex. Perhaps the nipples are too soft or short for him? I helped mom reposition the baby and he fussed hardly at all at latch for that feeding, but in follow up calls she said it was still just as difficult for them at most feedings even with new positioning (tried to use nose to nipple and get real deep latch, she was nursing in football hold and we tried cross-cradle). **************Start the year off right. Easy ways to stay in shape. http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489 *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome