Mother of two week old reports bleeding nipples as soon as she begins to  
pump, from both nipples with deep cracks around tips.  She is using a  nipple 
shield for bottle (confused/ preferring -- what is the PC term here!?)  with no 
problem and no pain, but when she tries to pump to keep up and increase  
supply, the bleeding begins.  She had reduction surgery in 1996 and though  I am 
wondering if this may be connected, I still don't know what to  recommend.  She 
says that during the surgery, the blood supply was kept  intct though the 
nipples were moved.  She is using PinS Advanced,  but  also used Ameda Elite or SMB 
in hospital with SAME problem.  The breast  shields seem to be correct size 
as her nipples are not jammed or pulled. I have  encouraged her to contact 
Diana West, but in the meantime, we are anxious for  suggestions so that her 
supply can be maintained. Thanks, Ann Conlon-Smith,  IBCLC, LLLL

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