Gail, Have you tried the "inverted nipple hold" with this mom? Rather than the usual cupping and shaping, have mom try latching the baby on in the transition hold (cradle hold, arms switched), and with the outside hand "pinch" the breast 2-3" back from the nipple at the upper outer quadrant area. The idea is to form an alternate type of wedge that does not compress the breast but rather loosely pinches some skin together for the baby to grasp. I don't mean a hurting type of pinch, but one where the skin will be folded/wrinkled together, rather than smooth. This is kind of hard to describe, but if you can figure it out, this sometimes works when all else fails. Good luck! -Lisa ************************************************* Lisa Marasco, BA, LLLL, IBCLC [log in to unmask] / [log in to unmask] *************************************************