Thanks to all responders. Yes, the mom is afraid of further nipple trauma. Her nipples are not all the way healed, though very much better, per her report. I called her to followup due to mastitis. She says she is resigned to pump and feed the ebm, though she is preserving the one bf per day although she would love to bf if she didn't have pain and trauma. Does not want sns due to nipple pain. Still having pain during the one bf but can tolerate that. I have seen damaged nipples heal and then when baby goes back to breast all is ok. Like many of you said, I can't make her go back to full bf. Having super duper pumps can be a lifesaver, but sometimes (often I would say) it permanently ends feeding at the breast. Many times moms ask me "is there any disadvantage to just feeding the pumped milk?" And I say yes: less in tune to baby, milk supply issues, less skin contact, oral/facial/airway issues, possible bacterial contamination. What disadv do you all give? Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com *********************************************** 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