Hi Amy, I had a few moms who were really gung-ho to breastfeed give up from the unbelievable nipple pain and I had observed that the nipple areola space seemed stiff like scar tissue. After that, if a mom had approached me post surgery, before birth, I tried to assess area for any stiff scar sensations and encouraged her to massage gently to soften before arrival. ThIs is purely anecdotal. 

Janet Dombro, IBCLC 


> On Dec 5, 2014, at 2:18 PM, Amy Wagner <[log in to unmask]> wrote:
> 
> Thanks, Janet.  Did the pain improve over time?  Any tricks to help latching to be more comfortable?
> Amy
> 
>> On Dec 5, 2014, at 2:10 PM, Janet Business <[log in to unmask]> wrote:
>> 
>> Yes I have seen this. I have wondered if it is scar tissue related.
>> 
>> Janet Dombro, IBCLC 
>> 
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