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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