Simone is exclusively breastfeeding her secondborn child Maggie, who is a newborn. Simone has nipple pain and damage. She consults with Dr Pamela Douglas at Nova Health Co, Wagga Wagga, Australia, October 2023. Thank you to Simone for her great generosity in agreeing to participate in this video for education purposes.

Examining Simone's breast and damaged nipple

A. This photo below shows the ulceration of Simone's right nipple epithelium with scabs

B. The photo below shows the direction Simone's right nipple looks (better assessed with front on observation) and her breastfall, that is, how her breast falls when responding to gravity, in relation to her abdomen

Assesing Simone's usual fit and hold

The video below

• Wraps up my comments about frenotomy not being required at this time
• Shows Simone getting ready to breastfeed. I explain about the landing pad and suggest rolling the bra up tight (rolling the bra inwards towards her body) to best expose the landing pad.

Teaching Simone the gestalt method as she breastfeeds baby Maggie

A. The video below shows the fit and hold Simone usually uses, which continues to hurt. We then move into a gestalt intervention.

The video at the end of PART 1 of Simone's case also demonstrates the gestalt intervention from different views.

B. This photo below is a lateral view of deep and symmetrical face-breast bury.