First updates!

The adoptive mom had her baby.  Another girl.  The midwife told her not to
breastfeed the adopted baby again until the milk came in!  AARGH!!

The baby with the oral aversion will be seen again by a pediatric nurse
practitioner in the pediatrician's office.  The PNP will probably refer to a
local Occupational therapist.  This one doesn't really even like to bottlefeed.

Now, the next hard one.

First time mom came into the office on discharge from the hospital.  She is
about 24 hours postpartum.  She complains of "toe curling" pain with
breastfeeding.  Latch looks great, tongue cups nipple beautifully, mouth is
gaped fully open.  No creasing or blanching of the nipple when it is
removed.  The only thing I see is a redness of the nipple where the baby's
mouth is.  The only thing I can think of is thrush.  Could it happen this
soon postpartum?  (I almost never see moms this early.)  She says her
nipples have always been extremely tender, even as a teen.  She doesn't even
like her husband brushing by her nipples.  Is it possible that the old wives
tale of needing to "toughen up" the nipples has a grain of truth and I've
just seen her?


Linda Pohl, IBCLC
Phoenix, Arizona USA
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