Dear Diane Karnbach, The positioning might be okay, but the attachment definitely isn't since she has cracked nipples to show for it. The damage to the nipples will give you the clues to what is going wrong. If the cracks are on the top (face) of the nipple, the baby is not taking enough breast into its mouth, and does not have the nipple back where the hard palate joins the soft palate. Our feeling is that if the attachment is fixed, the painful letdown will probably be a more normal sensation. Good luck! Robyn Noble and Anne Bovey, Brisbane, Australia PS We would not associate this with imminent infection, whether bacterial or fungal, going on past experience.