Hi Jessica,
This could be vasospasms.  Ask the mother to describe what her nipples look
like when she feels the pain.  Are they blanching?  Ask about a history of
renauds as well.  I have had renauds most of my life and though my nipples
blanch after a feed or whenever they are cold they never hurt but I have
experience deep breast pain.  Perhaps her nipples are being pinched during
the feed and that is causing the vasospasm.  Again, look at her nipples
after the feed or have her describe them to you.  She may just need to warm
her nipples after a feed or fix the latch.
All the best,
Chayn Fogelman IBCLC Israel

On Tue, Dec 8, 2009 at 2:50 AM, Jessica Claire <[log in to unmask]> wrote:

> Permission to post granted.
>
> Mother has 10 week old baby and everything is going fine except she feels
> deep, shooting pains in her breasts (not both sides at the same time) after
> some feedings.  Especially in the evening and especially if she feels her
> breasts have been well drained by the baby.  Putting baby back on the
> breast
> seems to alleviate the pain.  She doesn't feel sensation of letdown while
> nursing, but doesn't think this is what it is.  She can feel no lumps or
> tender spots and nipples feel great.  OB said something about muscle
> soreness (?) but didn't really have time to address the issue.
>
> Any ideas?
>
> Jessica Claire
> LLLL in Los Angeles
>
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