Mardrey, you might want to try using a *small* shield for the pump
instead of the extra large. I have tried this successfully a few times;
I suspect it works somewhat like RPS (reverse pressure softening).  And
have you tried RPS with this mom?
Flossie Rollhauser, IBCLC, RLC




"A mother gave birth to twins via C- section this week and she has so
much fluid (from before the birth as well) that when she tries to pump
her nipple and areola fill up with fluid and take on the shape of the
pump flange tunnel.  I watched this happen yesterday when we changed to
the extra-large flange, and before five minutes had passed her nipple
had expanded to be touching the sides of the tunnel all the way to the
nipple tip."

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