Cian
There is a lot of information I would still like to know. 
Has there been an oral assesment on the baby? Frnenulum, etc. I am actually
surprised that with the injury to the nipple you described, she feels no
pain until after the feed. Someone should look at the nipples as well to
rule out infection at this point. I think vasospasm will have some color
changes to the nipple, even if not blanched. But this needs to be explored
further. 
How is mother's milk supply? How do her breast look? Any change in size
while pregnant? Is she pumping (at least when baby is getting ABM)?
How were the feeds you observed? Did the baby seem to be feeding
efficiently, and did he seem satiated after? How is his weight gain? I know
this has been a big topic latley, but this is when I think a milk intake
scale could come in handy.
Best,
Ayelet Kaznelosn
CLC, IBCLC in CA.

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