Re: Nipple pain; almost exclusively pump
Welcome and congratulations on the new babies! I'm sorry that nursing and pumping has been difficult and painful so far. You can have thrush, or the babies can have thrush, or you and the babies can all have thrush, without you needing to nurse much. Since you feel significant pain after pumping, thrush does seem like a possibility. Do you or the babies have a yeast infection anywhere? Vaginal yeast in you or oral yeast in the babies would certainly increase the odds that this is thrush.
It's also possible that the issue is a poor-fitting breast shield on the pump. That can cause a lot of pain and potentially cause vasospasms (see http://www.kellymom.com/bf/concerns/...blanching.html). Maybe have a LC take a look at the pump and watch you use it? If there's a problem with fit it should become obvious fairly quickly.
Your milk is definitely worth the effort you're putting in. I know it's super-challenging. My aunt had 35 week triplets by c-section about 26 years ago and she managed to breastfeed all of them- but I saw firsthand how much work that took! Nurse, pump, bottle-feed, nurse, pump, bottle-feed, repeat...
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"