<A few years ago I saw a succession of mothers with circumferential cracks
that weren't healing.  Invariably, these mothers were wearing bras that were
a firm fit with a fashionably rounded shape over the nipple (and no extra
space), and they using totally flat, cloth breast pads.  They'd bought them
because they were sold by a breastfeeding organisation and so they assumed
they were the best.  With little enough space for the nipple in the bra
without flattening it, the flat pad further folded the nipple in on itself.>

This reminds me of the breast pads that are designed to inhibit MER.  One
brand is Lily Padz.  I've always been cautious of them, thinking that
leaking is the breast's safety valve of sorts.  I wonder how they impact
nipple trauma.

Mary Wagner-Davis, MS, MFT, IBCLC, LLLL
Roseville, CA

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