As Denise brought up, there has been discussion about the use of super
glue to repair perineal lacerations on the midwife list, but I don't
think any firm body of work has really been built up to support this
practice, though it is attractive, and in any case I would be reluctant
to use something of this nature on the fissures. However, I am wondering
if a simpler solution might be the use of a thin nipple shield? Has this
been tried with this mom previously?  Obviously, close followup would be
needed to monitor infant weight gain, but perhaps this would increase the
moms comfort.

Ione Sims, CNM, IBCLC