I have a mom who has a very round breast, fairly good tone, and a short but not flat nipple. Nipple diameter is about 1 to 1.25 cm. She has to pump now due to BTWork, and she has gone from the standard flange (Medela) to the 30mm and she is still having soreness at the base of the nipple plus blanching after feeds. This is with just one pumping per day, and soon she will need to do at least 3 while at work. What would you all suggest. I think the next size 36mm will be too large-- Michelle Scott, MA, RD/LD, IBCLC Pediatric Dietitian/Lactation Consultant [log in to unmask] 603 801-9140 Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by email, and destroy all copies of the original message. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome