This is one of those times I wish I had a digital camera that could take  
good close ups and I could email to one of you great ones who could look and say  
"this is" and solve the problem!
 
Mom breastfeeding first baby, vaginal delivery, full term, etc. Zero  
medications.  She contacted me at 7 weeks...after someone finally  told her this is 
not supposed to hurt!!!   She has what at first looks  like blebs.  More than 
one.  They seem to come ad go with a  feeding.  Also, if you can visualize the 
outer rim of the nipple face,  there is what looks and feels like a callous in 
a crescent shape.  Mother  reports no pain when touching the area. Says right 
after nursing or  showering it is almost gone, but then appears again as her 
skin  dries.

The nipple does have a lipstick shape when the baby comes  off.  Mom is 
working on correcting that.  OR she is thinking of  pumping and feeding her milk 
with a bottle instead.  She is so distressed  that she can't decide.  We 
discussed nothing is in stone, she can do what  she needs to do now to manage and 
work on breastfeeding again later if she  wants.  We have talked through all her 
options, and I want to be as  supportive as possible whatever she decides.  
Her pain brings her to tears  with every feeding.  
 
I have a few thoughts about what is causing this, and I want to hear  other 
thoughts to see if I am on the right track.  I have already made a  few phone 
calls to find her a breastfeeding knowledgeable dermatologist and gave  her 
some names and numbers.  
 
Now...can someone please remind me that even though I have spent a week  with 
difficult latching babies and lots of creased nipples and damage along the  
stripe with bleeding, scabs, etc. that breastfeeding is normal, it is not  
supposed to hurt, and many women can in fact breastfeed comfortably and  
simply....It's been a busy week...
 
Take care,
Pam MazzellaDiBosco, IBCLC, RLC
Davie, FL

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