Jennifer,
 
     My heart goes out to you with this  issue.  To me the magic words were 
"swelling" and her inability to handle  pressure above minimum.  If this mother 
is swollen enough, her nipple could  also be swollen.  When I have a 
situation that involves a swollen nipple, I  deal with the size of the nipple at that 
time.  The mother may normally be  a 24 mm, but if swollen enough, she may 
"temporarily" need a 27 mm.  To me  it makes all the difference making sure that 
the mother fits her  breastshields--at all times.  I mainly work with working 
women populations,  and in my experience, inappropriate breastshield size (too 
large or too  little) can significantly reduce supply within one month.   It 
can also wreak havoc with mom's breast health in general.
 
 

Debbie  Albert, Ph.D., IBCLC, RLC
Tampa Lactation Counseling
Tampa, FL  




In a message dated 1/6/05 2:23:08 A.M. Eastern Standard Time,  
[log in to unmask] writes:


Date:    Thu, 6 Jan 2005 01:45:01 EST
From:   Jennifer Davidson <[log in to unmask]>
Subject: problem with new  mom

I am working with a healthy, 1st time 32 year old Mom who is of  Indonesian=20
background. She gave birth to a very healthy, full term 7lb  14 oz baby 
girl=20=
who=20
has no observable sucking difficulty. Mom has  one slightly inverted nipple a=
nd=20
tried to feed the baby using a  nipple shield on that breast and put the baby=
=20
to the other breast.  She had such sore nipples with bleeding to the non=20
inverted nipple that  she could not tolerate putting the baby to the breast a=
t all.=20
Baby  is being fed Horizon formula and doing well. . It has be=
en=20
5 days  total now and she has only been able to get drops of milk. Her  
breast=
s=20
are very engorged and painful . She is using alternate heat  and massage befo=
re=20
and during pumping and cold after pumping. she  is also experiencing some=20
flu-like symptoms , I am supposing beginning  mastitis. She is on=A0 homeopat=
hy which=20
has helped her with this so  far. She says she is getting what sounds like=20
blebs on one of her  nipples. Any advice to helping her to pump out her milk?=
=A0She is taking  Motrin to decrease swelling and now is on tylenol with 
codein for pain. Any  advice would be so wecome. thanks Jennifer RN LE


 

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