Yes to Jane K's idea: Clamping down and shallow latch and nipple pain:
next to eval is other signs/symptoms of TT -- clicking noise, low/slow
weight gain, bubble palate, nipple soreness/crease, and using Hazelbaker
assessment tool.
Also, I thought vasospasm included change in color of nipple and relieved
by heat. And am wondering if it's common for vasospasm to present at 4
weeks? What signs of vasospasm do you see, and has heat helped?
Next, i wonder about the reason for the anticoagulant, and if she's at a
therapeutic level. I know Dr Frank J Nice and Dr Tom Hale will answer
medication questions as they relate to breastfeeding: I wonder what their
opinion is.
Looking forward to hearing what you discover: please share
Melinda
On Thu, Oct 31, 2013 at 2:21 PM, <[log in to unmask]> wrote:
> Can we say CLASSIC tongue-tie symptoms?
>
> -----Original Message-----
> From: Lactation Information and Discussion [mailto:
> [log in to unmask]] On Behalf Of sally etheridge
> Sent: Wednesday, October 30, 2013 5:31 PM
> Subject: Vasospasm - medication query
>
> I am trying to find some ideas re medication and vasospasm -
>
> The mother concerned has just had her 4th baby and breastfed all the
> previous three. This baby is now 1 month, she has encountered challenges
> from the outset with shallow latch, clamping down, infection and mastitis,
> and now has vasospasm so severe she has begun expressing to protect her
> supply while deciding on next steps. We were discussing nifedipine to see
> if it might alleviate the vasospasm while addressing the clamping
> down/attachment. She is taking an antecoagulant Dalteparin Sodium (so can't
> take ibuprofen). My questions - could the anticoagulant be connected to the
> very severe vasospasm at all? (She does not suffer from Raynaud's
> Phenomenum)Would there be any issue in taking nifedipine while she is
> taking the Fragmin?
> Thanks
> Sally Etheridge, IBCLC, Leicester, UK
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