It was my old buddy from NY, Diane Wiessinger, who I believe first coined
that phrase.
This brings to mind one of my first LC cases many moons ago. It was an
Amish mother with her third or fourth baby, can't remember for sure. I went
to her house and met her lovely young baby girl. She related that all of
her babies had problems breastfeeding for the first month or two and she
just wanted to know why and if there was anything she could do. As it
turned out, her nipples were the largest I had ever seen, between nickel
and quarter size, tough and fibrous, not compressible at all by her tiny
newborn. I showed her how to do compressions, but that was about all I
could do. She was happy to know that there was a reason for the
difficulties and related that she would do what she always had done -
manually pump and feed expressed milk until the baby was finally able to
latch on, usually between 6 and 8 weeks. The baby appeared to be thriving
in spite of her difficulties.
What was most memorable to me was her revelation that an earlier baby had
died of cystic fibrosis and she was well aware that other babies could as
well. But she accepted it as God's will, mourned him with many tears, but
was determined to build a large and thriving family. I know that it is a
cliche to characterize a group of people, but she was that quiet, strong
and peaceful woman that I always imagined an Amish mother to be - she was
also very pretty and had a wonderful smile.
Sharon
On Thu, Jun 28, 2012 at 5:08 AM, Elizabeth Brooks <[log in to unmask]> wrote:
> Wasn't it someone here on Lactnet who coined that perfect phrase
> "Oroboobular disproportion?" This sounds like a textbook case.
>
> I have to ask or I'll toss-and-turn: I assume trying "every position in
> the book" includes laid-back by mom, prone self-attachment by baby ....?
>
> I'd suggest: *Until* baby's jaw and oral cavity grow a bit more, Mom may
> have to do a lot of hand expression during the feed-at-breast, while the
> baby is hanging off the nipple "nursing." Not breast compressions (which
> assume the latch is effective) ... but hand-expression, to (truly) help
> move the milk through and out of the breast.
>
> But there is so much nipple abrasion going on that this may not be a viable
> option. Can you get your hands on one of the largest sized Mamivac (I
> think that's the name....) nipple shields, from a Code-compliant German
> manufacturer? They have a nipple shield style that is more dome-than-cone
> shaped. The mom may find she can use a shield that will accommodate her
> large nipples, so at least she can have feeds-at-breast and avoid nipple
> abrasion, even though she is using a lot of simultaneous milk expression
> techniques.
>
> --
> Liz Brooks JD IBCLC FILCA
> Wyndmoor, PA, USA
>
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