HI there. I might have missed other notes on this thread, and I hardly
ever argue with success, but I have to say that I don't think that
nipple shields are effective tools to counter nipple tenderness *in most
cases.* There is a reason for the tenderness, and I personally like to
get to the root of the problem. Sometimes, I recommend Jack Newman MD's
APNO ointment. It is hard, if not impossible, to diagnose nipple fungal
infection, but using APNO sometimes helps and the problem is solved. I
have had this happen much more frequently than not.
I think that in general, more problems can be had by using a shield than
can be solved.
Just my opinion.
Warmly,
Kathleen
Kathleen Bruce RN IBCLC
Listowner Lactnet listserv
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Archives: http://peach.ease.lsoft.com/archives/lactnet.html
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Nancy Holtzman
Sent: Monday, February 03, 2003 12:51 PM
To: [log in to unmask]
Subject: Update:Irritated feeling on nipple
Hi, all, update on my client with 4 wk old infant who had a sensitive
irritated feeling on bottom of nipple/areolar junction on both nipples
(nothing to see, no open areas, not yeast, good latching technique in
several positions). At home visit Saturday, we fine-tuned
latch/positioning (which looked pretty good already) and mom still had
that slightly painful sensation. I introduced a close-contact nipple
shield, baby was first reluctant to nurse with it in place, eventually
while I was there did some tentative suckling with milk transfer. I
left feeling not too confident that I had really made any significant
improvement, and thought mom might give up on the shield that day if
baby was reluctant to latch with it in place. Today during follow-up
call, mom reports feeling
*much* better! She persisted with using the shield, baby learned to
latch and nurse effectively with it, mom reports continued abundant
diaper output, says "no pain" when using shield, tried nursing without
shield once last evening and once this morning and says even without the
shield, nipple discomfort is improved. I suggested another day of
shield use with occasional nursings without (since it seemed to either
improve baby's technique or reduce friction on nipple base enough to
heal?), and if things remain comfortable, discontinue shield altogether
tomorrow and see how things feel. Still a mystery, but at least we
improved the situation. Thanks for input, those who wrote me over the
weekend. Thanks, NancyH
Nancy Holtzman RN BSN IBCLC
mailto:[log in to unmask]
http://www.great-beginnings.com/group.html
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