Hello lactnetters,
With regards to the white bleb- well, I've seen this condition in a number
of mothers.  I try as far as possible not to aspirate the bleb but encourage
the mother to try to let the baby suckle more often and hope that as a
result of the sucking, the bleb will burst on its own.  If not, a surgical
and antispectic aspiration of the bleb may be warranted to clear the
curd-like substance inside. Then,the mum will need to air-dry the nipple to
keep it from getting infected.  I think it will be useful to do the consult
with a medical practitioner to check if it's not a cellulitis or any other
form of infection.  If it's cellulitis, then an antibiotic like cloxacillin
may help.  If it's anything serious, I'll consult a breast surgeon and see
if more can be done for the mother.
Frequent breastfeeding - I can empathise with the mother who has to feed so
frequently- the interval mentioned was one and a half hours.  I remember
breastfeeding my daughter almost every hour and it was very tiring and
frustrating at first.  I just had to literally live hour by hour.
Sometimes, my family members had to feed me as I breastfed her.  I had to
rush to the toilet whenever a need arose at that time. However, things got
better month by month, she spread out a feed as she grew older. You will
really need household help during those "dark" days!  I just accepted that
my house would have to wait until my daughter grew older and then caught up
with my housework later.  In the meantime, as long as there was food-I
relied on others to cook for me, and clothes to wear- I didn't care as long
as I could breastfeed my daughter.  Now, I look at her proudly and say we
did it
and survived it.  Reassure the mother who's going through this frequent
feeding- that it will pass soon enough.  All the best.  Doris Fok, IBCLC in
private practice in Singapore


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