Re: Gwen Stefani weight loss?
Sent from my iPhone
> On Jul 10, 2017, at 6:48 PM, Amy Wagner <[log in to unmask]> wrote:
>
> Sorry for the late reply. I have found the protocols for nipple pain from UNC helpful.
> https://www.mombaby.org/wp-content/uploads/2016/04/PainProtocols.v3.pdf
>
> Take care,
> Amy
>
>
> Amy Wagner, BS, RN, CCES, IBCLC
> Hershey PA
>
> Sent from my iPad
>
>> On Jun 27, 2017, at 7:50 AM, Nikki Lee <[log in to unmask]> wrote:
>>
>> *Hey All - I have a mom who reached out to me and is having her 3rd baby.
>> She struggles with odd nipple pain almost immediately after delivery, but
>> it does not present as vasospasm. I said I could reach out far and wide and
>> see if my colleagues have any comments or suggestions. Pain does not occur
>> with pumping. If anyone is on lactnet, please post for me, tell me what
>> bounces back. I asked her for her history to share, here it is:*
>>
>> *Patient A:*
>>
>> Nipple/breast pain history:
>> 2012- had child 1, fed at breast in hospital, day 2 needed to pump because
>> engorged. Went home and had to pump first then feed baby due to too fast
>> letdown. After day 4 called LC because feeding felt like glass was being
>> pulled from nipples during latch on, off and during. Was treated with 30
>> days diflucan. Would try again and within one day pain was back.
>> Ended up just pumping for a year and bottle feeding. Tried throughout that
>> time again and would immediately get itchy breast tissue and sore nipples
>> again.
>>
>> 2014- baby 2. Fed at breast upon birth and within hours areola was swollen,
>> hot, painful to touch. Too painful to feed. Started on pump. Tried salt
>> soaks, sunlight and air. No help. Triple nipple cream never helped. Treated
>> with diflucan again, no help and went to pumping for 9 months.
>>
>> 2017- baby 3 arrives in Sept. as of right now I have sore nipples when a
>> shirt or towel brushes them. No breast pain. Nipples have a little white on
>> tips that can almost be picked off. When in wet bathing suit breast tissue
>> becomes itchy for a few hours.
>>
>> Health History:
>>
>> Surgeries-
>> Two c sections
>> Tonsillectomy
>> Nasal/sinus surgery
>> Gallbladder out
>>
>> Overweight, but good health. No diabetes, no high bp, normal cholesterol.
>> Seasonal allergies; Allergic to:
>> Sulfa; Latex (lanolin is derivative), get itchy skin.
>>
>> Skin history- sensitive skin. Prone to yeast on c section incision. Can get
>> Eczema in winter.
>>
>> Gyn history:
>> Regular periods, on pill for 10 yrs, 3 miscarriages, 2 healthy children.
>> Expecting 3rd. One sexual partner. Was strep positive at time of second
>> birth.
>>
>> Donna Sinnott, BBA, IBCLC
>> www.peacelovebreastfeeding.com
>>
>> --
>> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
>> Reviews Editor,* Clinical Lactation*
>> www.nikkileehealth.com
>> https://www.facebook.com/nikkileehealth
>> *Communications are confidential and meant only for whom they are
>> addressed.*
>>
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