Dear Nancy,
I was wondering about a couple approaches.  For the breastfeeding have you
tried a nipple shield?  It is all right that the nipple may be packed inside
the shield.  This would be until the mother and baby got better at the
breastfeeding and the baby grows and can accommodate the larger nipple.
As for pumping, how about the bras that have hooks to hold the flanges while
pumping?
Good luck.
Ann Perry RN IBCLC
Boston, MA

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