Hi there. I would say that she could have used the All Purpose Nipple Cream
that Jack Newman MD advocates, described at www.breastfeedingonline.com.
And, I would not be sure that the latch is fine, from the sound of
things....it may look good, but can be actually not that great, especially
in light of this type of damage. Was the baby tongue tied by any chance?
Kathleen
At 11:24 AM 1/24/2003 -0500, you wrote:
>Hello, I am the childbirth educator at Womack Army Medical Center. I work
>with a lactation consultant providing both inpatient and outpatient care
>regarding breastfeeding.
>
>I have worked with a mother who is an RN. The baby is 3 months old now (was
>10lb 12 oz at birth). Initially she presented with very damaged nipples,
>yeast and red streaks leading back from the areola. Her dh is a Family Prac
>MD. He prescribed Diflucan for the yeast and when no change in yeast within
>5 days, changed the dose from 100mg daily to 200mg. She stayed on that for
>3 weeks to get rid of the yeast and by the end of three weeks the nipples
>were so damaged, she was essentially missing half the nipple on the left
>side. Baby latched well, but a had a slightly tight frenulum, eager nurser.
>At 3 1/2 weeks, Mom quits putting baby to breast and pumps only with a
>Medela Pump N Style. She is an excellent pumper, getting 10-16 ounces at a
>time. Baby is fed by bottle. Question: At 3 months, her nipples stick
>crack open and bleed even on the lowest setting of the pump. She has to
>ease into pumping to avoid more severe damage to the breast. What could be
>causing this? Is it possibly underlying yeast, a skin condition, never
>healed damage from the beginnning...or something else? She is active duty
>army and is considering pregnancy again soon...for various reasons. She is
>not looking forward to nursing another baby, especially since she cannot
>even pump in comfort. Has anyone seen this? Any ideas for her? Thank you
>so much for your time.
>
>
>Becki Britt
>Childbirth Educator
>Womack Army Medical Center
>(910) 907-7102
>http://www.wamc.amedd.army.mil/pregedu/
>
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