LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
caballo azul <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 19 Apr 2006 20:21:53 -0500
Content-Type:
text/plain
Parts/Attachments:
text/plain (93 lines)
Hello to all.
I'm a LLL leader in Mexico City, and have 3 kids.
I had one inverted nipple and I didn't knew that when my first baby was
born. I had terrible sores in my nipples, specially the inverted one. I
didn't have support at that time, nor any experience. So my obgyn suggested
nipple shields. I used them and the baby could latch on the inverted nipple
that way. My nipples were bleeding for about 6 weeks post partum. I couldn't
wean from the nipple shields, and I used for the 8.5 months that I nursed my
first son. I weaned him so early because of social pressure and ignorance on
my part, but that's another story.
I decided with my next child that I would avoid the nipple shields, so I
learned that one of my nipples was inverted and the other one was flat. I
bought some nipplettes that were for elongate the nipple, and began using
them during my second pregnancy for longer periods of time under my clothes.
At first, the nipples couldn't fill half the nipplette. Close to the
delivery time, they had elongated quite a bit, and the inverted wasn't that
way anymore. When I had my second baby he could latch very well, and I
didn't develop any sores, and I finally was able to nurse my baby without
nipple shields. I nursed him for three and a half years when he weaned
naturally. He nursed during my third pregnancy and I tandem nursed him and
my third child, a girl. I still nurse the third strong.

Hope this experience helps
Ana in Mexico City



A very nice first-time mother, in her 20th week of pregnancy, contacted
me about her inverted nipples (which I have not actually seen yet).
Despite breast changes and growth during the pregnancy, the nipples
still crater inward.  Given the unusual luxury of some time for this
question, (no crying baby in the picture yet!) I'd love to hear what
you-all now recommend in terms of prenatal preparation.  Shells and
stretching exercises seem discredited by some research (though others
have argued that the studies used British products with larger holes
that didn't focus pressure at the nipple base).  It does seem that a lot
of LCs still advocate shells, at least in the "it couldn't hurt."
category.

I 've first tried to promote her confidence -- she's on common ground
with every mother, wondering how things are going to go.  Every mother
needs to know about achieving a deep latch, and rolling a big chunk of
breast tissue into the mouth -- and that "babies don't nipple-feed, they
breast-feed."  And what competent little mammals many babies are, ready
to work with the breast they find..   And how we're lucky to have tools
available for getting milk out of her and into the baby, protecting the
supply while we work through difficulties.  And that a shield can be
useful as "training wheels" if the baby needs some help at first.

But, cheerleading and breastfeeding education  aside, how aggressive do
you get prenatally with drawing the nipples out?  There may still be
some breast changes ahead in the pregnancy.   In the archives, Jean
Cottermann discusses a regimen of pumping in the final weeks.  Earlier
than that,  I assume, we'd be worried about bringing on pre-term labor.
But if a mother has not been warned off sex, which also releases
oxytocin, is that really a worry?  My understanding is that the uterus's
oxytocin receptors are blunted until close to term.

What are your experiences with the Evert-It syringe?  I had one mother
using it (started on her own initiative before I even saw her) and while
the newly revealed skin was really fragile, it did seem to help draw the
nipple out..  Would that be something to start using before the birth?.

The archives also mentioned that there are different varieties of
inverted nipples -- could someone discuss that in more depth.  How would
I know what I'm really seeing when I meet with this woman prenatally.

Margaret Wills, LLLL, IBCLC, Maryland

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html

ATOM RSS1 RSS2