Anne Merewood,
I just finished catching up on about a week's worth of posts, and I don't
wish to be rude or anything, but yours disturbed me.  You state in the
first  post that you have "not-very-wide counseling experience" and don't
list any credentials at all, so are you very sure you "corrected slight
positioning problems?"  Again, I'm saying this gently because I don't know
your background, but 15 years ago when I was a newly-certified LLL Leader I
thought I was awfully smart.  Now I know I'm not.

You "advised this Mom against pumping throughout the 1st 2 phone calls."
Why would you advise against pumping with "extremely sore nipples?"
Sometimes that break can be very helpful while nipples heal and keep a
mother breastfeeding who otherwise would have quit.  And a good,
hospital-quality electric breastpump definitely would not cause further
damage to her nipples.  She wanted breast shells and you 'forgot' to take
them so she had to send her husband for them later.  This sounds so
arrogant to me.  Why the reluctance to let her have something that can
increase her comfort?  You're not really clear on whether the nystatin was
prescribed for the baby or for her--Pediatricians I know only prescribe for
babies.  Do you know why the nystatin was being used "as a preventative
treatment?"  If not, I think you're out of line to tell her to D/C it.

Perhaps there is something wrong with this baby's suck as Catherine has
noted, but I would be very sure the positioning is perfect before I decided
this.  I see tons of babies who don't open very wide (drugs +
interventions?) combined with mothers who are very klutzy handling babies,
which is a recipe for not-so-great latch and not-so-great milk removal and
very-frequent-feedings.

I think it is helpful in this forum if people do list their credentials.
Having a bunch of initials doesn't insure competence but it helps to know
people's background.

And does anybody REALLY use tincture of benzoin on sore nipples??!!

Becky Krumwiede, RN, IBCLC, Appleton, WI
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