Hi - I'm nursing my 2-week-old and both nipples are very red/sore with cracks, one side has a bleeding crack. MD diagnosed yeast (both baby and I are being treated) and, after seeing a spot of pus on the bleeding crack, mastitis (I'm being treated). I have very large floppy breasts (L cup) with flat/inverted nipples. I'm using a "modified sandwich" squash to get as much aerola into his mouth as possible, and use my thumb to guide the breast into his mouth (then remove it quickly) since there's not enough nipple for him to "catch". The problem is that he's still sucking out a "high side" on both nipples - when I take it out of his mouth, the nipple is misshapen with a higher top side and white ridge that goes away after a minute. I can't find a way to get more of the bottom of the nipple into his mouth.
I met with a lactation consultant, who suggested a couple minor adjustments to the latch but otherwise said it was OK. baby is gaining weight well and nurses for 20-40 minutes at a session, but there is a lot of pain whenever he eats (and for a couple hrs afterwards, which I'm told is from the yeast and should resolve... but hasn't)
Any suggestions for a better latch, or ways to get more of the bottom side of the nipple into his mouth? Or, any suggestions for healing the nipples? i'm currently coating them with bactoban/hydrocortisone/lotrimen at the advise of the lac. cons. after each feed.