The pain is definitly when she is feeding...there is pain inside the breast as well as cracked nipples. We've been using cream to help with the cracking, but she has already been pumping since this morning every two hours or so. She has decided that she'll just pump for 8min on each side and bottle feed Libby. It hurts MUCH less with the pump and this way, at least Libby is getting breast milk instead of formula. The only problem is...when she pumps for 8min on each side, she ends up with just shy of 6oz. of milk...YIKES! She has been pumping for this length of time because the nurses recommended nursing the baby for 10min. on each side, so 8 per side should be fine right? *sigh* so frusturating...the way I see it now, she seems to have made up her mind and I'll do what I can to support her, I just hope that the engorgement doesn't keep getting worse.