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Subject:
From:
Ruth Cantrill <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 18 Dec 2001 22:21:08 +1100
Content-Type:
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Hi everyone my name is ruth i work as midwife, LC in Brisbane Australia.

I have came across an interesting situation i need help with. a 35 year old
G3 P1 woman presented at 28 weeks antenatally to day with 'crusty colostrum'
like substance 'scabbed thickly' over the end of both nipples. (that is the
best way i can describe it). she identified that she would like to
breastfeed this baby "if she can". on further assessment she had breastfeed
her first baby (now 5 years old) for six weeks but never "had enough milk"
so put the "poor starving" baby on formula.

Breast tissue development is normal.  she revealed that the thick  colostrum
like scabby substance had always been present on her nipples since a teen.
her own mother was horrified one day to see it. she has had various tests
which show no abnormality in the breast. the crusty stuff comes off in the
shower and she can scrape it off any time with no problem or nipple
soreness.

at this point i have told her i will ask the group for clues as to whether
her low milk supply may be associated with the exudate form the nipple. in
the mean time to see if she can express one drop every now and again of
sticky fluid  colostrum.  then i will follow up at time of birth to see what
the lactation is like and to support her in the desire to provide even some
breastmilk for whatever time she feels able to manage.

does anyone have any thoughts or prior experiecne with such. the substance
reall  almost looks like crystalysed colostrum and I am wondering if there
is such condition where the colostrum or milk is 'crystalised' instead of
sticky and flowing.

woudld be glad of your input on this situation
thanks
ruth

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