I'm a hospital-based LC who's been seeing a Mom with a baby, now 2 weeks
old, who is continueing to struggle with severe nipple pain.  We have r/u
yeast, mastitis, plugged duct, disfunctional suck, etc.  Weight is past
birth weight.  Baby feeds fine on right breast - no pain.  When on the
left, the Mom c/o severe nipple pain with latch-on which continues
throughout the feeding.  It has been this way from the beginning.  The
nipple appeared reddened from day one for a few days, which has now
resolved.  The nipple does not appear compressed when baby is un-latched
after a couple minutes.  There is no scabbing, cracks, etc.  Mom is
using "Lansinoh" and "2nd Skin" between feedings.  Pumping is just as
painful as feeding.  Any ideas?  I'd like to be able to help this dedicated
Mom.
Grace Pommerening RN, IBCLC
Holland, MI
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