One more thing that I forgot to mention is that the mom is wearing breast
shells during the day.
Thanks!

On Thu, Mar 8, 2012 at 7:15 AM, Sonya Shaver <[log in to unmask]> wrote:

> Hello all,
> I have PTP.  I am working with a mom who has very large breasts and also
> large nipples.  The baby is two weeks old and has not been latching at
> all.  She is pumping full-time while continuing to attempt to get him to
> latch.  She has a lot of breast tissue, and if she tries to support her
> breast or compress her breast or shape the breast towards his mouth at all,
> the nipple retracts in the center.  She also has to use the pump on the
> highest setting to get the milk to letdown and to get enough milk.  When
> she pumps, she does get a stream of milk, but there is only one stream of
> milk going into the flange.  It seemed like there was one other place where
> only a drop at a time was coming out.  She has been pumping for 30 minutes
> each time to get enough milk.  She did have a delay in her milk coming in,
> but has been able to provide breastmilk exclusively by pumping.  She had a
> cesarean birth.  She is producing just a little bit more than what baby is
> eating each day.
>
> Does anyone have any suggestions for the combination of both very large
> breasts/nipples and inverting nipples?  They are not inverted normally,
> only when she applies pressure.  They can be stimulated to protrude, and
> the pump does do that.  However, they will quickly invert if the breast is
> at all compressed in certain ways.
>
> Many thanks for any suggestions,
> Sonya Shaver, BS, CHES, IBCLC
>
>

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