Greetings..... A brief  re-introduction before I ask your advice.  I am
an hospital based IBCLC and former LLL Leader.  I have been a great fan
of Lactnet, and have been lurking for a while due to a busy schedule and
no computer at work.  My question involves a Mom with a 10 week old who
has had sore nipples off and on since baby was born.  She's been treated
(baby, too) for candida with diflucan with good results.  When I
observed a feeding this week, Mom reports baby does a lot of clamping,
with resulting nipple pain for Mom.  Latch and positioning looked good,
but when baby released her latch, I noticed the imprint of her upper
gums on Mom's areola.  I don't recall seeing this before.  My suggestion
to Mom was cranio-sacral therapy for baby (Mom reported the clamping
wasn't bad in the AM, but got worse as the day progressed.)  I also
suggested a more upright position for baby to try to alleviate the
pressure from the upper gum.  Does anyone have other thoughts or
suggestions for this Mom?

Susan Wirtjes RN IBCLC in Waterloo, Iowa
"What you permit, you promote"
mailto:[log in to unmask]

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