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Subject:
From:
"D. Shinskie" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 7 Feb 1997 07:14:58 -0500
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This is in response to Caren's post on 2/4 regarding mom's attitudes about
babies staying with them. (Just catching up!) In the several hospital's
where I have worked as both RN and then at later times as an IBCLC, I find
that attitude to be present mostly in reponse to the staff's
attitudes/expectations of parents.  If we, whatever our role may be, EXPECT
parents to room in, nurse ad lib, etc... and reflect that expectation in a
nurturing, can-do manner, they will in most every case live up to our
expectations.  On the other hand, if we present with an attitude of "you can
room in, but you might not get your rest (or interject a favorite myth
here), parents will pick up on that by reliqueshing their wee ones.  This is
not meant to pick on Caren for certain.  What she says is so true and if she
is the only voice in the wilderness at her institution, she has quite a
mountain to climb.  However, if we continue to demonstrate respect for
babies & their families, little by little, it will change.

Jessica:  I too experienced a similar situation a few years ago.  Mom, after
either bfing or pumping, would experience nipple blanching followed by a
purple color (deep) and pain.  I discussed this in depth with 2 other LC's
and at a BSC symposium.  After many weeks & ruling out much (including
yeast), we still were unsure of the cause.  First you have to look at the
pump quality & mom's technique - if they are ok, as was the case with the
mom I saw, it became tricky.  One possibility we entertained was Reynaud's.
Dr. Newman, you suggested warm soaks after feeding & discussed the use of 2%
nitroglycerin paste for difficult cases, and of course, removing the
potential cause of nipple trauma.  We could find no cause and the warm soaks
did not work for her.  Significant for this mom was a history of sexual
abuse that was extensive; we were unsure if there was nipple trauma involved
in that.  Good luck as you work with this - please let us know how it works
out.
Debbie Shinskie RN CES IBCLC in Millersburg, PA
"The passion for setting people right is in itself an afflictive disease."
-Marianne Moore

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