Dear All:

I'm hoping Jean Cotterman is checking Lactnet, because I had an unexpected case today in 
terms of edema in the areola.  The baby was one week old, gaining well until Friday.  The 
baby was persistently feeding at night so mom wanted to find out what to do.  The baby had 
lost weight since Friday, but in the range of possible variation in scales.  The baby 
completely tired out at the breast and took barely 1.0 oz after an hour of poking and 
prodding.  (And yes, even without a scale I could tell this baby wasn't doing it).  At first 
mom didn't release well to the pump until she applied far greater pressure.  Then it dawned 
on me as she took the pump shields off that she had edema in the areola.  It was not at all 
apparant untli she pumped.  Jamming the pump parts in deeper seemed to push back the 
edema and help her release milk.  She hadn't had a prolonged labor or lots of IV fluids, nor 
edema in her legs or feet.  I only found it out by accident.  

What do you think of this?

Best, Susan Burger

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