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Date: | Tue, 27 Jun 2006 19:57:29 -0400 |
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Dear Lactnetters,
I am a CLC and I used to be able to read my lactnet mail daily until
I had my second baby and I am sorry to say I haven't been much since
(he's now 9 months old).
I have however, been to see a few women with some problems and I have
encountered a bit of a challenging situation. My client is from
India and her english is functional but somewhat limited in this
particular area. So we are having some difficultly communicating
about the situation.
When I first went to see her, we talked about the importance of a
correct latch and we put the baby on a few times till it was good.
She wasn't experiencing any discomfort while she nursed her baby but
after she was done she complained of pain in her breast (behind the
nipple area). I am not sure if this pain is outside or in. I
couldn't quite get that. The thing is she says it only hurts if
she's not wearing a bra. So the weight of her breasts seems to be a
source (???). It's both sides that hurt. But only AFTER nursing.
I've just been back to see her again (one week later) and she says
that still she is NOT experiencing any pain or discomfort WHILE
nursing but that it hurts after. She also says that everytime she
feeds the baby the baby starts crying again after about 1/2hr to 45
minutes. Sometimes as little as 15 minutes. I really really believe
that the baby isn't latching properly. I didn't get to observe her
last night has her husband had just given the baby a bottle of ABM.
Mom thinks it's something she's doing (or not doing).
I looked at her nipples and they both have bad crescent shaped cracks
on the outer ring of the base of the nipple. (Right where the nipple
meets the areola). So her left nipple is cracked on the left side
and the right nipple is cracked on the right side. This is
definitely a latching issue but even after I speak slowly and
succinctly to try to get it across about the latch, she seems not to
understand. I told her what to look for, how to position the baby,
all about waiting for the "yawn" and like I said when she latches,
Mom says she's feeling fine and nothing hurts. But sore, cracked
nipples like I've described can only come from an incorrect latch,
right. Also, sounds like baby isn't transferring much milk if she is
crying after feeds and then becomes settled if given a bottle. (??)
This pain AFTER nursing though, could it be reynauds (sp?). Her
nipples don't blanche, but they do get red (she says they are but the
don't look red to me). I have very limited experience and I am
hoping you may be able to give me tips on how to help her.
Many thanks in advance,
cian t. sawyer, CLC
Nassau, Bahamas
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