Karyn-Grace asked for ideas for a surrogate mother who is pumping exclusively, who has a number of pumping issues, nipple trauma, and evidence of Raynaud's.  
 
I am wondering if one of the issues is referred pain?  I've seen this in a number of mothers where there is a history of nipple pain that is being addressed, but where the pain - when further investigated - is within the breast and very general.  In these cases, where other causes have been addressed, I ask the mother if she has a history of spinal injury, perhaps in a car accident.  The answer is usually "yes".  I then urge the mother to visit whoever was managing her pain or rehabilitation from the old injury, to have the pain treated, and then to come back to me once on medication.  If she has previously been seeing a physiotherapist (PT) for the old back injury, I enourage her to see the PT again.  I have found that asking this question can lead to new possibilities in helping the mother.  Even if the injury is higher than the particular thoracic vertabrae where the innervation to the breast comes off the spine, there may still be an effect (for reasons I'm not sure of).!
   The PTs on this list may be able to explain this.

I am "nomail" at the moment and so please address any comments in this stream to me privately.

Virginia

in Brisbane, Queensland, where we had just 4.5 hours a day of sunlight in December, despite the summer solstice.
email: [log in to unmask]

> Nipples were so tender that she had to keep everything off them.  She 
> was
> loathe to put the pump to them, and I was loathe to allow it!  I 
> suggested
> hand expression... she demonstrated her very ineffective technique and 
> then
> I demo'd the one that I use (ala Chele Marmet... works very well for 
> me!).
> I was on her breast for a total of 5 seconds, with only ONE roll of her
> ducts, and NO WHERE near her nipple... my touch was so painful to her, 
> she
> began to cry!  This was in response to pain that she was feeling IN her
> breasts, not surface pain from nipple wounding.

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