Barring any history of sexual abuse which might be implicated, I would want  a lot more history. Mom's diet, hormonal history, inflammatory conditions, and so on. I would be particularly interested in the possibility of a connective tissue disorder or nutritional deficiencies or an oxalate sensitivity. Most of these have clues in the rest of the history.  And certainly, a nipple shield is worth the effort.
Jennifer Tow, IBCLC, France
Intuitive Parenting Network, LLC



Date:    Sat, 9 Jul 2011 09:34:15 -0400
From:    Rosalie Sarasua <[log in to unmask]>
Subject: Painful nipples

Hello Wise Ones,

This is my first post although I have been lurking for years.

I have a client who is 3 days Post Partum with her first baby.

She is having difficulty breastfeeding but this is not the reason for the post.  
She has EXTREMELY sensitive and painful nipples AND areolas and has had this 
since puberty and she has never been able to tolerate anyone touching them, let 
alone sucking them.

Her nipples are very fibrous and the fibrous tissue seems to extend down into 
the breast.  I touched her areolas and nipples and she broke out into tears.  2 
minutes on the pump brought her to tears.  2 minutes baby sucking brings her to 
tears.  She can comfortably massage her breasts and hand express a little (baby 
has been getting formula finger fed and whatever drops she can get out of 
colostrum).

Latch doesn’t seem to be an issues, it is really a nipple issue for the mom.

Any suggestions?  Trying a nipple shield in this case??

Thank you so much for any input and suggestions.

Rosalie Sarasua, IBCLC, LLL







 

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