I did not use nursing bras, creams, pads (actually I did buy a box but never opened them! They are still in my bathroom unopened, I didn't leak at all!) no special shirts, nada.. I also do not have a dishwasher.. who ever designed my kitchen should be shot on site. Its less than 6yrs old and needs to be ripped out and redone but I dont have that kind of money sitting around so I will have to make due with it til I win the lotto.