We had an interesting patient this week with bilateral secondary areola and nipple.  They are slightly smaller, located below the primary ones, but still on the breast itself.  They are leaking colostrum already.  Baby was 2 days old today and was discharged home from the hospital.  Does anyone have experience with this phenomenon and/or have any suggestions for how to manage this?  We recommended she feed the baby from the primary nipples and see if the secondary ones would dry up.  She gave permission for me to post this question and I will be following up with her to see how it is going.  Baby is exclusively breastfeeding very well and I could hear some good swallowing today.  Mother seems very comfortable with it.  We are just wondering if there is anything we should be telling her or be concerned about.  Thank you in advance for any input.

 

Linda Vawter, RN, IBCLC

California
 		 	   		  
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