I have permission to post. A coworker saw a mom today that she feels has
calloused nipples. Mom is a 41yo primip whose baby is now 4 mo and who had sore
nipples for the first 2 weeks that healed. She came in today for a consult
for blanched painful nipples that occur very irregularly but just in the
evening. When she feels the pain, she lowers her bra flaps, sees that her nipples
are blanched and then the color returns. My coworker watched a feeding and
feels that the latch looked correct. Upon doing a digital exam, she noted a
high arched palate. Mom is aware of pinching with BF but has felt that from the
beginning and now it does not bother her.
Her question is this: is there any treatment for the callouses on the
nipples. She has tried different hydrogel pads and breast shells to reduce
friction rub but does not care for those products. I also suggested working with
this mom on trying to get an asymmetric latch. I was wondering if the saline
soaks with some gentle debridement after to soften the tissue. We would
appreciate any other suggestions.
TIA.
Allyson Michaels RN, IBCLC
Charlottesville, VA
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