Hello Tina,

Perhaps I am coming late to this party, but has anyone suggested that  
this mother/baby pair might be struggling with a tongue-tie?  They're  
really easy to miss (or, in the case of the pediatricians in my  
community, completely DISMISS, ugh) when the baby is gaining well and  
mother's milk production is robust.  The combination of a tight  
frenulum plus a baby working to manage oversupply/forceful let-down  
can, in my experience and observation, lead to some serious nipple  
pain and damage.

Just thought I'd throw that out there in case someone else hasn't yet!

Diana Cassar-Uhl, IBCLC and LLLL
upstate NY

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