Hi fellow Lactnetters, I have been gone for awhile due to starting a new job
and getting ready for my surgery, I miss the posts. Anyways, I have a patient
I am working with, first time mom , who tells me she was leaking colostrum
from the 7th month of pregnancy and has always had extremely sensitive
nipples. Well, she received Ancef, the doctors apparently not knowing she was
allergic to PCN and went into anaphylaxsis and ended up in SICU intubated.She
is extubated and doing well now, x for c/o her nipples being intensely
painful right when baby latches on and she only allows baby to stay on x 1
minute and pulls him off. As far as I can tell the baby is doing everything
right perfect latch and on finger feeding assess tongue down cupping and
rhythmic with moderate negative pressure. No trauma to nipples. I tried
nipple shields in hopes of dulling her exquisitely sensitive nipples a
little, but to no avail. She says she will just pump and give in a bottle. Of
course I reassures her that the baby will still receive her milk and that is
what counts to avoid disempowering her. I asked about her diet, she is a
vegetarian but eats fish and takes a high quality highly absorptive PN
vitamin. Does anyone have any other suggestions? TIA Lisa Mooney RN BSN IBCLC

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