thanks jean for that comprehensive information.
i will pass it on to the lady and my colleagues and plan to follow her up
personally. will let you know the outcome.

ruth



on 12/23/01 4:18 AM, Kermaline J. Cotterman at [log in to unmask] wrote:


>
> I had such a mother once, whose case I have described before on LN, in
> response to someone else observing this in a mom. They described the
> entire tip of the nipple as "covered with firm yellowish scales".
>
> I discovered the condition at 28 weeks g.a. and by 35 weeks, we had it
> cleared up (so as not to "freak out" the nursery personnel!) The "crust"
> seemed fully 1/16 to 1/8 inch thick, and I was afraid to make any attempt
> to rub or scratch it off in the clinic because it was so thick and firm.
> First and only case of "tough nipples" I've ever seen!
>

> And certainly, I would give her some anticipatory guidance on the
> importance of a good off-center latch from the beginning, and teach her
> to the way to hand express according to the Marmet method, partly so that
> she knows where the milk sinuses lie, and where the tongue must compress
> to get milk out.
>

> Good luck. Keep us posted. I think this condition occurs more often than
> we hear of.
>

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