Case 3 (possible repeat thrush) - Try "laid back" positions if baby is willing, have mom make sure she is supporting baby and breast throughout feed, treat for bacterial infection and take probiotics. Case 2 (premie now on bottle) try nipple shield and breast compression, notice if baby has airway symptoms or difficulty pacing feeds, experiment with positions where baby's airway is in best position (extension) and/or mom's breast not obstructing in any way. Case 1 ( palatal torus) Perhaps return for more bodywork for baby and mom, both have been through quite alot. Assess/increase mom's supply make sure it is adequate. Try laid back positions where baby is prone on mom. Laurie Wheeler RN MN IBCLC Mississippi USA *********************************************** 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