Lactnetters, I am working with a mother of a 17 month old. She needs some more suggestions to help with how to stop her baby from pulling and clamping on her nipple during breastfeeding--usually during an MER when the flow is fast. Though sometimes it is at the end of a feeding. This has been going on for 3 weeks and mother has painful nipples for which current tx with diflucan as of a couple days ago is helping considerably. I'm thinking the damage inside the nipple is what precluded the probable infection. Baby has all front teeth and incisers. Top teeth are painful on mother also when baby is pulling back to nurse and leave marks that are sometimes purple looking from the ongoing pressure. Nipple and breast tissue are intact and show no signs of irritation/infection. More painful nipple is however firmer as if there is internal swelling. So far she has tried taking her baby off the breast, telling baby to stop because it hurts, watching baby for signs that she is going to do this and take her off ahead of time. The hard part is that baby does most of her nursing at night and mother who is nursing while half asleep can't monitor her as well. Can you give suggestions for this mother who would like to continue nursing until 24+ months. Her first baby was weaned at age 2 for similar problem. TIA, Natalie Shenk, BS, IBCLC private practice in NW Ohio