Holly, I got some grazing on the nipples early on and the lactation consultant at the hospital told me to do the following when feeding:

- With the hand the same side as the breast you are feeding from squeeze the areola in at the 3 and 9 o'clock positions
- With the opposite hand hold the back of the baby's head and get as much of the nipple in to the mouth as possible
- Hold this position while the baby feeds. You will look like you have one arm as a chicken wing and the other along the baby's spine.

I hope that makes sense but it really helped me get her attachment right and cleared up the grazes (and stopped her vomiting up the blood she was swallowing) really quickly. I was also using the lansinoh after each feed. I didn't stop breastfeeding at all so I don't know about the bottle affecting it at all.