I worked with a mother a few months ago who also had severely inverted nipples and then had a very low supply.  She had an induction/then C/section, but started pumping to bring out nipples and putting the baby to the breast within a few hours after delivery.  After trying many alternatives, we finally got the baby nursing with a shield.  The mother never did have much colostrum, so she was pumping after feeds while finger feeding a little formula afterwords "waiting for her milk to come in."  Her milk never really came in despite having the baby at the breast, albeit with a shield, pumping, using fenugreek and blessed thistle.  After about 5 weeks, the mother got frustrated with all of it.  She is a single mother and going back to work, and gave it up.  It was one of the most frustrating cases I have ever worked with.  I was wondering if their was some connection with the severely inverted nipples and low supply???  I couldn't find any relationship in my reading, but have wondered about it ever since.  Has anyone else ever seen this?

Quick reintroduction--my name is Anne Nans.  I am an RN/IBCLC here in Fredericksburg, VA.  I was off Lactnet for over a year, but signed back on a few weeks ago and am loving the exchanges.  I also have 4 1/2 year old triplets who breastfed beyond a year and a 2 1/2 year old who still nurses in the morning.  I work part-time at our local hospital.

Anne Nans, RN/IBCLC


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