Well lactnetters, I think I can finally say I know what you mean by a bubble palate. I just came from seeing a mother whose baby is 3 weeks of age, 12 lbs 6 oz at birth and is now 11 lbs. She has successfully breastfed three other children without problems. Her nipples are great except for a large open fissure on the tip of the right nipple that is extremely painful. The baby on suck exam had a deep high palate and his tongue was fairly far back with a strong suck. As baby nursed he chewed mostly and as you might guess very little breast filling experienced by the mother. She's very worried, wants to continue breastfeeding. I gave her an SNS that improved baby's quality of suck immediatly. She'll try warm saline soaks and bacitracin for open crack and begin pumping to increase supply and rest the very badly sore nipple but? What can I suggest for the poor suck or palate problem? Would positioning in a upright football hold help? I'm out in the boonies here and I've never had an opportunity to see what people mean by a bubble palate, so what do you do to help these mothers? I'm incredibly behind in reading posts so would appreciate E Mail. Linda Rosetti RN, IBCLC Clarkston, Wa [log in to unmask]