Ann, Do you have access to Medela's glass pump flanges? It's rare that mom's need them but I currently have 2 moms who were experiencing pain with pumping (proper suction level) even with the xl size (30 mm) flanges so tried the glass ones and are using them with great success now as far as no pain and increase in supply for one, able to maintain while working for the other. One mom had obvious nipple strangulation from pump while the other has large nipples that looked like they fit well with 30 mm flanges, but she found that only the glass was comfortable. Most women have a large portion of breast pulled into the flange so maybe your mom with bleeding nipples would then kind of bypass having flange pull her nipples at all. Barbara Latterner, BSN, RN, IBCLC *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html