Hi All,

I am just baffled with two cases I've had recently and I need some input:
In the last two months I have worked with two moms who presented with
hypersensitive nipples prenatally. Both stated that this nipple sensitivity
was not hormonally driven and both have had it for years.

When the first gal delivered she screamed bloody murder with the first
latch (I was there). She continued to try and nurse off and on for several
weeks with all kinds of help from me as we tried to desensitize her
nipples. She refused Amitriptyline (used for chronic pain pts.) but did
take motrin around the clock. I did notice that when she pumped her nipples
turned a mulberry color. I am seriously wondering if she is having
vasospasms however this color change and  pain are her only symptoms.I did
suggest vit B6 but she is ready to give up.

The other mom just delivered on Friday and also is having extreme nipple
pain. Her nipples look very pink and pumping also hurts her. In her history
she stated she was once treated for "systemic yeast" and went on the
anti-yeast diet.

Am I looking at yeast,neuropathy, hormones, what? I call this nipple pain
of unknown etiology and it just bothers me. I have ruled out sexual abuse
in both moms and the latch has been worked on and fine turned as well. I
know that these two cases can have two different problems however they
presented the same.... with extreme prenatal nipple sensitivity and anxious
mothers who knew it was going to hurt and it did.

I would love a study on this. Thanks for listening as I really just needed
to vent my professional frustration.

Warmth,
Star Siegfried RN,BA,IBCLC
Arcata, CA

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html