Jan, regarding your mom with long nipples and baby with short tongue. It is interesting that the first baby also had difficulty getting the wieght gain going. I am a true believer that mother nature will prevail and this baby will learn to compensate this nipple. I would encourage her to keep trying the baby at the breast along with the alternate massage and the back up of sup. feedings with her expressed milk. I have a coworker who has a baby with a short tongue, mom flat nipples and using a nipple shield. The baby is gaining but mom has to work to get baby on shield. Ann Perry RN IBCLC N.Andover, Ma.