Dear Lactnetters:
I have spent most of the morning reading through the archives on sore
cracked bleeding nipples. Not much has been written about the subject since
1997. So I hope I am not going to upset you by asking for new information.
Let me try to present the situation in a nutshell:
Mom is 3 weeks postpartum. She called me on day 15. Baby had lost close to
a pound, at the first doctor visit, now she states baby has regained some of
the lost weight. Also baby had jaundice, and was on a home biliblanket.
Mom was treated with iv antibiotics during delivery for +gbs(assymptomatic).
Normal spontaneous vaginal delivery. Epidural for about three hours prior
to delivery. Baby is female.
Observations: Mom struggles with getting baby to breast. Struggles with
arms, and positioning, and holding baby close. I attempted clutch hold,
madonna hold, and finally sidelying. This seems to work.
She has cracks from 12 o'clock to 6 o'clock bilaterally. Once baby has
latched on, for thirty seconds the pain subsides, but does not go away.
Clicking noises heard, but jaws are moving, and ears wiggling. A few
swallowing sounds heard but not a lot. I asked her to keep a feeding,
elimination diary for 24-48 hours. When I came back baby had produced
adequate numbers of stools and voids, per diary and mothers reporting. I
have not personally seen a diaper change. When baby is latched on the lower
lip is flanged out. Yet when I put my gloved finger in baby's mouth she
seems to be tongue thrusting.
Can someone tell me more about how to teach a mother to do suck training. I
never was formally taught how to do this, and feel inadequate at this.
What else can you recommend?
I
thought about using finger feeding, but I want to go with a clear plan in
mind when I see her again.
I really want to help, and mother is very motivated.
She told me over the phone today that the cracks are worse on one side and
better on the other.
I wonder if there is yeast, although there are no s/s of yeast in baby's
mouth or on bottom.
I probably left out something, but I don't want to make this any longer, and
I hope to hear from as many of you as I can. You can email me privately or
to the list whichever you prefer.
Jane Squires
Martinsburg, WV
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