It's more about getting your nipple in the right place for better attachment, which can be easier than holding the breast in place for a whole feed, rather than avoiding pressure from holding the breast. Well I think so anyways? I found it easier to hold my breast, and I had a little pillow and one of those booby booster clip on things. My hand was much easier to locate in the middle of the night and I never had a problem from pressure of holding. HTH