I have seen moms react to their flanges occasionally.
What kind of pump does she have?
There are silicone pumpin pals and silicone inserts for Spectra...as well as some others.
She should not react to silicone.
Kathy Leeper, MD, FAAP, IBCLC, FABM
Breastfeeding Medicine Specialist
Medical Director
MilkWorks, a non-profit Community Breastfeeding Center
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Lincoln, NE 68516
Phone (402) 423-6402
FAX (402) 423-6422
MilkWorks O
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I have a problem that I have never come across in over 20 years.Mom had a premie born at 27 weeks. She pumped for first 2 weeks fine, then developed itching and redness on areola and nipples. For at least 4 weeks she suffered terribly and then began treating as thrush. The treatment with all creams did not work. Finally one dr said she is allergic to the flanges, and she should stop using a pump and only hand express. All redness and itching went away totally. I saw her yesterday, baby is now 38 weeks and instead of getting out 120 that she was getting with Medela by hand she can only get 80. Besides being extremely time consuming, I am very concerned for her supply. Her baby is still not effectively nursing, although moving in the right direction.
We tried covering flange with saran wrap which worked for a few minutes and then as the nipple got pulled in where the saran wrap did not reach she began to feel pain and itching.
She has no other known allergies.
Any ideas to help this desperate situation?
Thank you
Jessica Billowitz, IBCLC
Israel
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Date: Sat, 23 May 2020 16:41:42 -0400
From: Theresa Moutafis <[log in to unmask]>
Subject: Re: allergy to flange of pump?
Has she tried a silicone flange? Do glass flanges still exist in the world?
On Sat, May 23, 2020 at 4:00 PM Jessica Billowitz <[log in to unmask]>
wrote:
> Hello everybody
>
> I have a problem that I have never come across in over 20 years.Mom
> had a premie born at 27 weeks. She pumped for first 2 weeks fine,
> then developed itching and redness on areola and nipples. For at
> least 4 weeks she suffered terribly and then began treating as thrush.
> The treatment with all creams did not work. Finally one dr said she
> is allergic to the flanges, and she should stop using a pump and only
> hand express. All redness and itching went away totally. I saw her
> yesterday, baby is now 38 weeks and instead of getting out 120 that
> she was getting with Medela by hand she can only get 80. Besides
> being extremely time consuming, I am very concerned for her supply.
> Her baby is still not effectively nursing, although moving in the
> right direction.
>
> We tried covering flange with saran wrap which worked for a few
> minutes and then as the nipple got pulled in where the saran wrap did
> not reach she began to feel pain and itching.
>
> She has no other known allergies.
>
> Any ideas to help this desperate situation?
>
> Thank you
>
> Jessica Billowitz, IBCLC
>
> Israel
>
>
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End of LACTNET Digest - 22 May 2020 to 23 May 2020 (#2020-87)
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