I think that nipple vasospasm/Reynaud's can be triggered and exacerbated 
by a baby sucking incorrectly and using excessive pressures on the 
nipple. The wool nursing pads do seem to help for true Reynaud's, I've 
had many mothers report that they help protect them from cold-induced 
symptoms. Encourage mom that she can buy 2-3 pairs and wash them by hand 
when they get damp, they dry pretty quickly if they are gently squeezed 
out and rolled in a towel to remove moisture before hanging.

As for this particular situation, sore nipples after a month of 
breastfeeding points to some anatomical or structural problem that's not 
being addressed (short mandible, tongue-tie, torticollis, etc). Have you 
seen this dyad in person? Could it be time to reassess them?

Catherine Watson Genna, BS, IBCLC   NYC

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