Dear Friends:
    This is the most amazing case history........so  many mother's have this 
fear, and it happened for this mother. Her nipple fell  off. I will never tell 
any client of mine or pregnant woman this story!!
    I worked with a mother once that had no  nipples. Her nipples were so 
inverted that they looked like holes in  the centers of each areola. Milk poured 
out of her; she leaked 2-4 ounces each  feeding. She 'breastfed' two babies 
for over a year each, using the base of a  plastic Davol nipple shield with a 
bottle teat on top of it. 
    The LC/caring physician and the mother can  problem solve together. I am 
sure they improvise something, using all the  aides and devices that are 
currently available.
    warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
Support the WHO Code and the Mother-Friendly Childbirth  Initiative

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