Denise, I recommend lansinoh and attention to the latch on and suck for damaged nipples. I hesitate to recommend the mom take the baby off the breast, but if she desires to do so, I tell her 24-48 hours, and advise she cup or fingerfeed at least some feedings. They almost always wind up using bottles at the middle of the night feedings. I have the same experience that if the suck, positioning and latch on can be corrected quickly, the mom can often stand to nurse on even 'cratered' nipples. The problem comes when the baby has a complicated problem which will take time to resolve. These moms either settle for 'better' and keep working, or quit. I wish we saw them earlier! Catherine Watson Genna, IBCLC