Hello everyone!
I really need some help with this mom. A couple of weeks
ago I posted a note about a mom with the worst nipples I'd
ever seen...they looked like mucous membranes, raw meat,
etc. Baby was 3 1/2 weeks old at that point. Because of
the extensive damage, I suggested that she pump until they
heal. Well, it took two weeks to notice any improvement in
the nipples. At that point she could weat nursing pads w/o
pain, instead of having to wear breast shells all of the
time, and the nipples were looking much better. However, as
soon as she tried to put the baby to breast, it was very
painful, so she decided to continue pumping for another
week. That was on 6/11/95. Here is what has happened since
then:
6/16 Mom tried nursing the night before, and the baby
spit up blood after nursing on the left side. Left nipple
cracked again, right has a blister.
A friend with a nursing baby tried nursing this baby and
said that although it didn't hurt, it did feel different.
Discussed possibility of thrush and discovered that within
past week baby had developed a diaper rash and was being
treated with Nystatin *******!!!
Suggested mom immediately call docs and get drops for
baby's mouth and cream for nipples.
6/17 Mom has mastitis again, and is on antibiotics. Also
had meds for thrush.
6/22 Started nursing again. Has blister on left nipple,
was clear, now white. Her friend who nursed the baby said
that the next morning her nipple was sore.
6/24 Left nipple is cracked again, and mom wants to keep
pump another week.
HELP!!! Any ideas?!
When I saw this mom nurse 4 weeks ago, baby had the whole
areola in her mouth, and the digital suck exam was normal.
I even suggested that she use a nipple shield (a first for
me), and that just made the pain worse. I am really at a
loss here. Could allergies play a part in this? WHAT could
this baby be doing that is causing mom's nipple to crack so
quickly? And how can we fix it? Any and all suggestions
would be greatly appreciated!
Thanks, Debby Boehle, IBCLC
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