Dear Friends of the Net


One of my colleagues at the lactation center where we are on staff shared an
assessment that she had made of a new mother who had no visible nipples only
slits in the breast tissue where nipples should have been.
She states that she could feel the nipple  with manual palpation but it
would not protrude  nor would it with a pump and no evidence of colostrum.

I remember at the IBCLC conference in '87 ( in one of the sessions) a women
from the audience gave a description of what she termed " invaginated
nipples" .  What she described was a degree on inversion in which the
nipples invaginates or telescopes inward.The pathology was such  that
little or no connection of the nipples to the ducts and sinuses underneath.
The pathology was more that skin deep indeed.  I think this is what we saw
this week .

Do any of our older netters remember this lady at the 87 conference ?  Is
this term  "invaginated nipple" terminology something that is used for
documentation?  My spell check did not know it . I have seen it once or
twice before over several thousand mothers and greater than a decade of
observation.  Any one keeping a registry of these type of occurrences?

Any better way to describe or document this "condition"


With kindest regards

Beadie Cambardella RN IBCLC FACCE
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leaves trying to turn in Atlanta, GA