On Sun, 19 Dec 2004 15:25:42 -0800, Jan Aken <[log in to unmask]> wrote:

>HMMMM, I thought we didn't rub nipples anymore to toughen the nipples
>because we were rubbing off the keratin that  forms on the nipple making
>the nipple "tough" So what I am hearing is a keratin(callous) layer of
>skin does not appear on the nipples. I will be dog-gone. That's At least
>that is what I remember. I could get out my books and take a lot though.
>Well not this holiday week however.
>Jan Aken RN IBCLC
>


I'm guessing it might be a matter of semantics.  How thick does the keratin
layer need to be before it is called a callous?

I've not seen what I would call a callous on a mother's nipples, though I
have seen a definite toughening of the skin.

I too would be interested in seeing something in print on the topic.

-Claire Bloodgood, IBCLC

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