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Mon, 21 Feb 2005 10:15:12 EST |
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Jennifer you wrote:
What causes these indentations in the nipple surface?
The nipple surface itself is concave, and difficult to heal probably due to
folding on itself? Is there a way to fix that?
I am jumping in here to comment on this but assuming that Jean will respond
since she has written on this topic.
The indentations around the nipple at the point you saw this mom was
probably due to her engorgement. The same symptoms this mother may have noted after
delivery may have been due to edema from a combination of pregnancy, and
interventions in labor. Not all women distribute edema alike. There are some
who are very prone to edema around the nipples and not that noticeable in
other parts of their body.
Using the reverse pressure approach is very helpful to access the nipple and
allow the infant to get a deep latch. I also encourage the moms to use cold
compresses as much as they can tolerate until the problem resolves.
Great job.
Ann Perry, RN IBCLC
Boston, MA
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