In a message dated 10/4/99 3:46:12 PM, LISA writes:

<< I'm curious as to how many of you recommend the Hoffman technique/exercises
to mothers with inverted nipples? Comments? >>

Lisa, shhh, don't tell anyone 'cause it's too controversial,...... but for
nipple variations that cause latch on difficulties - those nipples that do
not respond well enough to stimulation and/or facilitated latch on
techniques,...... i don't call it Hoffman technique, but i have been known to
suggest: very very gentle "areolar conditioning" which is surprisingly
similar to Hoffman. i think a good pump can accomplish about the same thing.
meaning, encouraging areolar tissue elasticity/graspability, that's *areolar*
graspability.

Deb

Deborah Tobin
RN BSN IBCLC LCCE
Springfield, Virginia USA
In the suburbs outside the Washington DC beltway

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