Hi Ilene, It is really hard to do suck rehab over the computer, but here are a few things that might help this baby. mom can try tipping his chin back a tiny bit to bring that small jaw forward. She can support his chin with the front of the hand that supports her breast (dancer hand position). Tickling the lower lip with the nipple until baby is opened wide and his tongue is down and out is helpful in getting baby to pull the breast deeply into his mouth. (Lips curled in are usually a result of the mouth closing as the baby latches, which is a no-no.) If the tongue is still pressing against the nipple/ mom can try some sublingual pressure - she bends her index finger under baby's chin and presses gently on the soft spot inside the jaw bone (the base of the tongue muscles) every time she feels baby thrusting. These things may help the symptoms, but there may be some underlying cause - often when babies suck incorrectly it is for a reason, in other words the sucking is adaptive for that baby - it works for some reason even though it is wrong and limiting. For example, when mom has an overactive MER, milk flow is very fast, some babies may suck ineffectively to slow down the flow to a level they can handle. Be aware of this, and watch the effect of your suggestions carefully, readjusting as neccessary. You can also encourage mom that by 8 weeks she can certainly nurse at night and give bottles during the day, since she can't pump at work. She could pump at night if she wished. Or she could sleep wtih baby and let him nurse ad lib all night. Her body will adapt to whatever schedule she sets as long as she gets a good supply going in the first 6 weeks or so. (As evidenced by my friend who pumped a quart a day in one session each morning during her ped residency, to carry her baby through 36 hour 'call'.) If none of this works, an LC or an OT might be able to help further. Kepp us posted. Catherine Watson Genna, IBCLC NYC