Wow...feeling for this mom and what she has persevered through, and feeling 
for you as you are stumped with how to help her.

One question in my mind that I don't think was answered by your post is:  Is 
the 'nipple fold' a NEW situation or did it exist before her breastfeeding 
experience?  I'm just wanting to get a clearer picture of whether or not this is 
genetic, injury, or breastfeeding related.

Either way, I can certainly understand why this mother would be in pain on 
that side.  If her baby has a high palate and his hard ridge is abrading right at 
her nipple fold and tough areola area, yes, that would be painful.  Other than 
adjusting for positions that would not put pressure on her 'spot', I myself am 
stumped on this one, too.

However, if her left side is not causing her pain and she can nurse 
successfully on it, why not suggest unilateral nursing?  Seeing as how she is 
near the point of giving up completely, she might really appreciate being 
given 'permission' to nurse just on the left side.  Maybe even just doing this 
for a short time, while seeking solultions, would help her get a better 
perspective.

Many mothers nurse only on one breast naturally, when baby (or mother) 
develops a preference over time.

Blessings!

Karyn-grace Clarke, IBCLC, LLLL
Gulf Islands, BC, Canada
www.breastfeedingwithkg.com

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