Dear Lactnet members;
I have already searched the archives, and I see that there have been several
episodes of threads about nipple piercing and breastfeeding. While these
posts have helped my client, she has a problem that I haven't seen
specifically mentioned. Here is the question: (with her permission),
The woman is a 23 y/o primip, full term baby born 4 days ago by c/s. She is
exclusively breastfeeding, a little dripping from the piercing sites, mother
has medium sized breasts, normal nipple/areola, says her breasts are fuller
today than yesterday. Baby latched well in my office, although she has a
tendency to shallow latch. The tips of her nipples were a little pink, but
not abraded or bleeding. Meconium changing, urine clear, mother is feeding
on cue and is well read. She lives with her extremely supportive mother.
She noticed a pain today during feeding, the same in both breasts, not
sharp, but deep in the breast, and not dependent on positioning the baby or
hours between feeds. The pain might be behind the piercings, although I did
not see any redness around where she pointed to the pain, nor any hard lumps
or suspicious skin. Today is the day that mature milk was visible.
Does any one have experience with this? The only help I could give her was
latch advise, and she claimed the pain did not improve. I am wondering if
there could be scar tissue where the piercings healed and they are being
stretched as the milk ducts fill. It seems that if this were the case and
the ducts are filling that lumps would be obvious or engorgement in those
areas would be easy to determine.
Thanks for your help,
Lizabeth J. Berkeley, MPH, CHES, IBCLC
Department of OB-Gyn
Texas Tech Health Sciences Center
4800 Alberta Ave.
El Paso, TX 79905
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