Hi Winnie,
I also commonly have moms report shooting pain after breastfeeding when
the infant compresses the nipple during feeding.  I suspect it is from
irritation of the sensory nerve from hypoxia.  Baby stops nursing, blood
flow returns, pain begins.  If this is allowed to continue for a week or
two, reflex vasospasm often occurs.  I have almost always seen this
scenario when the baby is micrognathic AND has a short tongue.

A very asymmetrical latch can help, by greatly increasing the amount of
breast in the baby's mouth, which increases the ability of a tight or
small tongue to press milk out and positions the nipple farther back
where it is protected from the jaws and tongue tip.  Often the mom has
to be extremely careful to get the latch perfect to get relief.
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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