Interesting thread on leaking.  Over the years I have occasionally gotten
phone calls from mothers several weeks down the line who complain to me
about needing a "bath towel" to sop up the mess when nursing because of
excessive leaking.  One mom called with 2 questions - the 1st being about
leaking and the 2nd about pumping so she could go back to work.  It turned
out that she was still wearing the breast shells she had been given 3 weeks
before in the hospital to help evert slightly "shy" nipples.  No one had
instructed her on when to quit using them.  I find this to be common -
mothers are given equipment in the hospital but are not told when to either
quit using it or when it is time to seek more help.  In talking to this mom
I suggested she immediately stop using the shells (as baby was having
absolutely no problems with latch, etc.) and to put a collection container
of some kind under the nipple she wasn't using for nursing at the feeding
to save for going back to work instead of using a towel.  She called me
back the next day and said it was like turning off the faucet - her leaking
stopped instantly and she never had a problem again.  The reason?  Probably
increased stimulation to the nipple/areola area during normal movement
massaging the areolar area, causing increase in milk production.  I have
seen this several times over the years.

Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

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