Dear all, Thanks to those who responded to my request for information. I was also able to get some valuable information from the Lactnet archives. I have had very helpful replies and been directed to a couple of websites (thanks Denise) specifically for women who have had breast surgery. As this woman is on the internet I was able to pass these sites onto her. I wasn't able to see this client, due to time constraints, but was able to have a long phone chat with her. She is very articulate and was able to give a detailed description of the pain/sensation that she feels whilst feeding, and she understands the importance of achieving a good latch at the breast. All indications are that the baby is getting plenty of milk. After questioning her, I concluded that it was probably ductal pain and was able to reassure her that it will get better. Interestingly, she said that the midwife had "offered" to give the baby a bottle (not the other way around), but when she looked at the baby's little face she "just couldn't do it" - she also realised that this was not the answer to the problem, so opted to take analgesia and persist with breastfeeding. She sounds very committed to breastfeeding. Fed her first for 3 1/2 months only, which she was disappointed about and says that she didn't know anything about it then and, I would guess, received poor advice. The surgery was done 2 1/2 years ago, the nipple was severed and she says that the surgeon was very particular with reconnecting the ducts as he knew that she may want to breastfeed again. Thanks again - it's great to have such advice, literally at my fingertips!! Joy Joy Cocks RN RM IBCLC BRIGHT Vic 3741 email:[log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html