Katerine states in a message on Lacnet, May 20th....

"We had some time to talk while baby was in gramma's arms sleeping.
During a very very thorough hx I asked if anyone had checked to see if
the baby  was 'tongue tied' or had a 'short frenulum'.    She said
that yes, 'just yesterday' the pediatrician told her that the baby had
an 'exceedingly' short lingual frenulum and that it would likely
interfere with language development and would likely require surgical
intervention at some point.

"She then went on to rave about baby's weight gain and comment to mom
that breastfeeding was going well.  Mom clarified that no, it was
really going poorly and that she, while very commited was concerned
she would have to stop b/c her nipples were so damaged.  The ped
didn't make the link between the nipples and the tt.   Oh well, she's
my ped too and she loves learning about breastfeeding so I know she'll
be on board.

"Anyway, my point/question:  In this case, we did go with a nipple
sheild.   Mom's left nipples is incredibly badly damaged. there is a
crescent shape 3 mm wide crevasse that circles underneath and aroun
mom's nipple from 2 oclock to 10 oclock,  it's deep as well.  She's
been feeding on it until 24h ago, then she borrowed a pump, quit
feeding on that side.  Her other side was badly damaged as well but
not to the same extent.

"I went with a nipple shield for basically two reasons:
1)this baby was going to get a bottle *or* a nipple shield at that
feeding.  Mom was done.  Traumatized, exhausted and sick.  She
initially refused to put the baby to breast and I knew that b/c of
baby's tt, a better latch would still leave mom in significant pain.

"2)mom has a great supply and there was still a good chance that even
with the sheild for 1-2 days, baby could still get a good feed at the
breast and mom could feed without pain and not have to pump.'

Royce here, I am very confused, unless the shield is placed appropriately
(ie: turned nearly inside-out, like a Mexican hat where you then need to
pull the nipple out) which then places a BUNCH of breast tissue in the
shield you will NOT get the affect you desire!  And in fact, the nipple will
be "dragged in and out: with each suckle!) And, believe me that is not the
desired action!  Will someone clarify, please?

Royce Anderson. RN, IBCLE, RLC, CD (DONA)
Who is nearly late for church. :-)

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