What about vasospasm? Have you observed the moms nipples 20 minutes
after pumping to look for blanching? Has she tried a nipple shield? In
this case, where she is barely able to put the baby to breast, maybe
they will help provide the comfort she needs.
I doubt psychological issues are a major source of breast or nipple pain
(though they certainly play into tolerance of pain), keep looking.
--
Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask]
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