I had a mom with chronic nipple damage and pain, she used nipple shield which helped the nipple damage heal, but nipples always pink, she pumped but that was very painful, there were several lactation consultants helping this mom who gave birth to preterm twins. I got babies off the shield directly onto breast which was a great relief, babies were latching well when mama was diligent about latch. In between all of this, while using shield & pumping she had recurrent yeast infections, mastitis( finally got Doc to prescribe anti-bacterial & yeast combo) no one would prescribe APNO cream.
Turns out she was allergic to the plastic in the flanges (we tried 4 different brands) and the nipple shields, so was her baby girl, not the boy (she kept getting yeast in mouth), once she stopped shields and pumping her nipples turned normal color, no more pain, yeast or mastitis!
So for those difficult chronic sore nipple cases, perhaps it is an allergy to latex (as my mom) or something in plastic.
Sent from my iPhone
> On Feb 23, 2016, at 10:20 AM, Lou Lamb <[log in to unmask]> wrote:
>
> Cross posting from LACTNET Facebook. PTP: mother nursing a 4 week old and continues to have nipple trauma, on one side only. Both nipples were initially damaged in the first week PP, started with “little bubbles/blisters” on the nipple tips, per mom. Saw mom/babe at 3 weeks & R nipple slightly abraded, L nipple fissured with what appeared to be a secondary bacterial infection. Mother started on oral antibiotics & used APNO. Taught asymmetric latching technique & R nipple healed immediately & stayed intact. L nipple almost completely healed x 4 days ago & nursing going “pretty well” per mom (although reporting baby has a “very strong suck”), but today, her L nipple looks like photo in comments section. Baby has an ULT, (see photo in comments,) but plenty of lip flexibility and wide gape when latching. No TT observed, good lingual ROM. Pumping (Spectra & Symphony) causes inflammation & pain on her L side, but she hand expresses well. We are both at the end of our rope…thoughts?
>
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