HI Denise!

I would really appreciate it when you keep us updated on this case.
I'm at loss about this one too! You seem to have tried all the tricks that
I came up with myself. It seems like the sides of the breasts you descibe
have ducts that are too small, or too much connective tissue that seems to
'get in the way' when the milk wants to go through. Overdistention of the
ducts crossed my mind as well. It doesn't really sounds like Rauynauds
phenomenon either.

Just some thoughts I wanted to share, although I don't know if they're useful.

Good luck and keep us posted!

Renate.
At 22:57 10-11-00 +1000, you wrote:
>Hi all - just thought I'd share a tough case with you of a mother with
>extreme breast pain who I'm working with at the moment.
>The problem:  from the very first feed the mother has experienced extreme
>shooting breast pain.  She has never had thrush (yeast) and has no risk
>factors for it - plus the pain isn't typical.   Her latch was good -
there's no nipple
>damage evident and the nipple exits the mouth looking pretty close to the
>way it went in (one of my major criteria for assessing latch).  The pain
>starts at the nipple and shoots (stabs!) laterally on the left side of both
>breasts to the central chest wall on the right breast and the underarm on
>the left breast - only there, no where else.  She only feels the pain when
>the baby is actually suckling ie. when his jaw is working - the second he
>stops, so does the pain (still latched with negative pressure)
>
>I'll keep you informed about the progress.
>
>Denise
>


--------------------------------------------------------------
Renate Rietveld, IBCLC
E-mail  : [log in to unmask]
Homepage: http://home.wanadoo.nl/renate.rietveld.ibclc
--------------------------------------------------------------

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