I would like to say thank you to all of the people who responded to my
request for information about the use of towels and heavy breasts both by
private email and posting to Lactnet.   The mom I worked with was leaning
over baby and bringing the breast up to meet baby's mouth, and probably
caused damage that way (rather than with the towel which I thought was the
problem since this was the 2nd case in a week that I saw with sore  nipples
when a towel was being used...coincidence I suppose).  After removing the
towel, I worked with her to have her bring baby to the breast in its natural
position and to sit back comfortably.  She was doing much better by the next
day.  She had a blister on her right nipple which had broken and she had much
relief.  She did call me this morning telling me that the nipple that had the
blister is now bleeding slightly when she pumps.  She is using a manual pump
on the highest setting.  I suggested she lower and not to pump quite so
vigorously, figuring it might be a broken capillary.  I also told her to seek
her provider's help if it gets worse or doesn't improve within a day or 2,
but that it is safe to continue breastfeeding in the meantime.  She was
concerned about baby getting her blood in his milk.  Any other helpful
insights you have would be appreciated.

Thanks again,
Veronica Scott,
Breastfeeding Peer Counselor Coordinator, WIC

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