My apologies - 6/52 is 6 weeks. 
I didn't realise this wasn't a universal term. (I'm used to gestation being expressed in fortieths and have always used /52 as abbreviation for 'external' life age)
Lizzy


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Date:    Sun, 14 Feb 2016 07:52:05 -0600
From:    Pat Young <[log in to unmask]>
Subject: Re: blood in milk at 6/52

Sorry for not understanding, but what does 6/52 stand for?  Pat in SNJ


On 02/14/16, Lizzie Brown 
wrote:

I've tried to search the archive but come up with nothing. This is my first time posting. I'm a new IBCLC and very grateful for the wisdom to be found here. 
PTP
Q from British mum in Bahrain. Baby 6/52 - when latches on to the right boob it is initially agony and then fine. No apparent nipple trauma. After the feed though she's a little sick (not an unusual amount) The accompanying picture shows a mixture of brown stains and pinky red curds. Left breast feeds are normal and the bit she brings up after burping is just normal milk.
First happened this morning but it was more brown than red but this afternoon is bright red. No evidence of cracked nipples other than the pain. Baby fine in all other respects, no temp, alert, no other variations from their norm, normal wee & poo. Growing & happy. 2 weeks ago mum had bronchitis but has been well for over a week now. No use of pump, denies trauma to breast. Apparently baby has 'a really powerful suck'.
(Have asked mum to express a little to see if it is in the milk...)
Rusty pipe? But it's 6/52 in.
Intraductal papilloma? - but again 6/52?
Send her to HCP?

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Date:    Sun, 14 Feb 2016 18:28:51 -0600
From:    Laurie Wheeler <[log in to unmask]>
Subject: nipple pain

Hi Amy,

That is a tough situation. I think some mothers have found relief by a few days of nipple rest and in the meantime and for a while, using some NSAID like Naproxen around the clock. I think others have talked about using something that works for fibromyalgia like Lyrica, I think. Not sure if that has been studied or anecdotally written up as a case study? I have talked about doing a nipple skin culture and clean catch mid-stream milk culture to see if there is an infection present. I wonder if mom’s have some degree of vasospasm and would warmth and/or a trial of nifedipine work? Some moms apply ice prior to feeding. 

Occasionally mothers use antibiotic ointment on their injured nipples but I remind them not to use the kind with pain reliever in it, due to baby  concerns. See this link re oral ingestion. I know you said mother could wash it off, so maybe that is safe?
http://www.usatoday.com/story/news/nation/2014/07/03/lidocaine-teething-children-babies-fda/11798367/

What is interesting to me is this: did these mothers have any nipple trauma in the early days, or were their nipples always intact but just sensitive. I think early trauma and pain may sort of ingrain the pain pathway???
Laurie Wheeler RN MN IBCLC
Mississippi Gulf Coast USA 



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