HMMMM, I thought we didn't rub nipples anymore to toughen the nipples
because we were rubbing off the keratin that  forms on the nipple making
the nipple "tough" So what I am hearing is a keratin(callous) layer of
skin does not appear on the nipples. I will be dog-gone. That's At least
that is what I remember. I could get out my books and take a lot though.
Well not this holiday week however.
Jan Aken RN IBCLC


> -----Original Message-----
> From: Lactation Information and Discussion
> [mailto:[log in to unmask]] On Behalf Of Catherine Watson
Genna,
> IBCLC
> Sent: Sunday, December 19, 2004 1:33 PM
> To: [log in to unmask]
> Subject: Re: Do nipples really "toughen?"
> 
> I agree with Mary Kay.  Nipples don't callous!  There are several
> reasons beyond the possibilites she states that nipples get less
tender
> after the first few days:
> - infants use less positive pressure (compression) and negative
pressure
> (suction) as milk supply increases, which reduces stress on nipples.
> - the increased milk lubricates the nipple and reduces friction.
> I don't know where you can find good research on nipple soreness.
What
> there is pretty much says "pain is common in hospitals" = "pain is
normal".
> Catherine Watson Genna, IBCLC  NYC
> 
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