use “breast shells” (an alternative

use “breast shells” (an alternative is to use a small
plastic strainer, with no handle) between feedings,
eliminating the friction of the sore area against the
mother’s clothes. However, this device favors spontaneous
milk drainage, which makes the tissue more vulnerable
to maceration. Therefore, this recommendation
should be assessed on a case-by-case basis, weighing
its benefits and risks