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Subject:	Re: nipple pain / to jillian
From:	"K. Jean Cotterman" <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Mon, 18 Jun 2012 23:15:26 -0400
Content-Type:	text/plain
Parts/Attachments:	text/plain (25 lines)

Laurie writes:

<I don't know if this is really the best idea: ice on nipples a few
seconds before latch or pump (if Reynaud's it is a very bad idea),
some desperate mothers do this and report it helps. Not sure if it
will affect MER.>

Heard report of a pilot project for research of this point at a convention once. Her research showed that application of cold to the nipple-areolar complex does not interfere with MER. So I have never worried about it since. 

That would be one sure way to test if it were in fact Raynaud's!!!!Mom would certainly not appreciate it of course, if venous spasms occurred, but if there is no blanching/pain response, that would certainly seem to rule it out!!!

K. Jean Cotterman RNC-E, IBCLC
WIC Volunteer LC  Dayton OH

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