I am seeking advice. Thank-you in advance for your input.
Mom is 3 weeks pp. She presents with 3 complaints.

1. Breast pain laterally where breast joins chest wall, near axillary. No
swelling of nodes or extra mammary tissue noted.  Breast cup from C to ??
(beyond DD,doesn't have bra that fits). Hx of 1 cup size change
premenstrually. Feels huge, "This is no fun".
My suggestions:  Get a bra that is supportive.  Bring baby up to you.

2. Severe nipple pain with latch, subsiding slightly. Felt at nipple-areolar
junction. "I can't enjoy this, I could never doze during fdg, it feels like
a saw cutting me. I'm in tears at least twice a day". Brfds q 2-3 hrs x 10
-15 q side. "Can't tolerate more". Nipples intact with superficial crease in
each, some reddness in the fold of the one that hurts the most. (previous
wounds resolved).  Hx antibiotics in pregnancy for URI and in labor for MVP,
last vaginal yeast 2+ years ago. Initial latch on nipple tip caused
flattening underneath and lateral creasing.  Usually latches with her finger
extending the baby's openness. This resulted in rounded nipple but no
relief. Uses traditional hold, others more painful. Wide gape, baby fed 140+
cc. comfortably, noisy with stridor, tongue not evident beyond gumline or
cupping breast. No thrush (or diaper rash) evident,  no tongue-tie, palate
normal.
Impressions: ? pain from possible yeast, ? nerve damage from lateral
creasing/previous wounds. (pain was worse with wounds, but lingering pain is
still too severe)
Suggestions: lotrisone after fdgs.x5 days than mycelex, nystatin for baby,
care plan tips from LC series. (medication unacceptable to this couple
unless absolutely necessary). Rotate fdg. positions. Feed baby in prone
position. Consistant deep latch. Should I try nipple shield?  Any
break-throughs on culturing yeast?

3. Breast fullness half hour after feeding. Fullness interferes with sleep.
Denies MER sensation. Leaking unremarkable. Fullness is so uncomfortable "I
can't cuddle my baby" Feelings of mothering inadequacy, lack of enjoyment
R/T pain. Brfdg. all consuming.
Suggestions: Would one-sided nursing be appropriate? She is afraid of
getting mastitis, "I'll quit if that happens, it happened to my mother
several times". She can't tolerate fdgs > than 10-15 min. so is afraid of
one sided fdgs.
Should she use cabbage leaves to manage that fullness for several days?
Should she drink some sage tea to decrease but not endanger her supply?