I have seen this happen and have done the following. First optimize the positioning of the baby's body and the mother's body. Tuck the bottom in close to the other breast in cradle position, close to the mom's groin in sidelying and close to her back in football (baby on side, wrapped around mom). Next aim for the asymmetrical latch, start with baby's nose aligned to mother's nipple, and tickle upper lip with nipple to encourage baby to lunge upward somewhat when s/he gapes. Use a nipple sandwich type of compression on the breast if it is needed to get more areolar tissue into baby's mouth and away from the nose. Make sure mom's thumb and index finger match baby's nose and chin not check and check. Make sure all motions drawing the baby toward the mother concentrates around shoulders (in other words support infant's shoulders, neck and base of cranium, NOT the crown of the head. The goal is to have the chin denting the breast and the nose lightly touching or quite close to the breast. A well and asymmetrically latched baby will have chin off the chest and ears will not be touching shoulders. If areola is medium to large in size some areola will be showing under baby's nose but less or none will be showing between lower lip and chin. Baby will be able to easily gaze up at Mom. Sometimes, despite all this the upper lip still seems to seal over the nares and one will see the sides of the nose retracting with each attempt to draw breath. I have had luck with a gentle push on the infant's forehead if he is pulling himself into the breast and tucking his chin on his chest but be careful not to hyperextend his neck. I have also taught mother to press gently on her breast and the edge of the infant's upper lip with her index finger TOWARD the baby. Mom's instinct often is to pull the breast away from the baby which allows him to breathe but also unlatches him or sets her up for sore nipples. Carla *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html