The Gestalt approach consists of a step-by-step process explained to the mother with photos and a demonstration with a doll, so that she can modify the positions and reduce pain. While we often talk about helping the mother find an "instinctive position," in practice, after a month of intense pain, mothers need very concrete answers.
Sandrine contacts me. Her baby is 5 months old and we met during the establishment of breastfeeding and also to prepare her return to work.
Since she has been pumping a lot, she has recurrent blocked ducts (hard area on the breast persisting after feeding, but without signs of inflammation, without redness, without fever) and a blister on the nipple that returns every week for 6 weeks.