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Date: | Sat, 8 Apr 2006 10:19:38 EDT |
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In a message dated 4/7/2006 8:31:00 PM Eastern Standard Time,
[log in to unmask] writes:
With regards to this...Do areolas need to be soft to work with a shield?
I
am working with a mom with very inverted nipples, very leathery inflexible
areola tissue and having trouble with any size nipple shield staying put at
all.There is no way it seems to draw the tissue into the tip. Baby balks
like
crazy and is totally frustrated as a result till bottle appears. This woman
is
in tears from wanting so much to bfeed and I am at a loss. Thanks, Ann
Ann, in your description of the "leathery inflexible areola tissue" I find
this is usually due to edema. Thanks to Jean's work I have these moms use RPS
and it is amazing how soft and flexible that tissue becomes where the mom
had her fingers.
In your description is why I don't use a shield for these cases. The
likelihood of good latch or milk transfer is poor.
I would work with this mom to use RPS than she could try a pump or her hand
to express her milk. I would also recommend cup feeding for this baby.
These moms will never have a long firm nipple like a bottle (well no one does,
but some moms nipples are perkier) so I would avoid these kinds of imprinting.
Ann Perry, RN IBCLC
Boston, MA
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