Compressed ducts from a heavy breast?  I have had mothers feel less discomfort if they were wearing a well supporting bra.  ( I know some women have more discomfort with a bras, it depends on the situation)

Tania

Tania Archbold B.Sc, IBCLC
Mothers Nectar Lactation Consultant Services
519-400-7098



On 2013-04-11, at 2:30 PM, "Jessica L. Callahan" <[log in to unmask]> wrote:

> PTP - I am seeing a mother baby couplet. Infant is only 3 days old today. This is mother's second child she did nurse her first child up to 3 months but was also supplementing during that time. 
> This time she really wanted to breastfeed. Nursing was okay during the first day with some sensitive on the underside of her breast. Second day of breastfeeding had the same result pain increased slightly but she was able to 'deal with it'. This morning mother requested assistance with breastfeeding. When i walked into the room mother states that she just tried and it was very painful. She states that the pain is located on the underside of the breast. She drew an imaginary line from the edge of the areola down to her breast. The line was dead center in the breast. She described it as deep sharp pain. Mother was willing to latch infant onto the breast and when she lifted up her arm she stated that she could feel the pain on the underside of her breast again and just lifting up the breast slightly caused pain. When the infant started to nurse the pain increased (mother in tears) mother had to remove infant from the breast after 3 minutes of nursing. We tried the other breast and had the same result. Mother still denied nipple pain and stated that it was still located in the center underneath the breast. The pain has increased today and transitional milk is also starting to come as well, breast are getting heavier. 
> 
> Infant did have correct latch, no abnormalities in infants mouth, the breast that she was nursing from had no damage to the nipple, nipple was correct shape after mother removed infant. Mother denies any kind of surgery to the breast or back, denies chest tube placement, or heart surgery. Mother does report that during menstrual cycles breast are very sensitive to touch but it is the entire breast not just this one line. Mother does report having raynauds symptoms in 2 fingers on her left hand. (There was no color change of the nipple). 
> 
> I did have mother try to express with a manual pump but as soon as she started to pull on the nipple she could feel the pain on the underside of the breast and was only able to do it for a few minutes until she had to stop. 
> 
> Does anyone have any idea on what this pain is and how to help this mother?
> 
> Jessica  RN, IBCLC
> NC, USA
> 
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