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Subject:
From:
Liz Brooks <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 1 Aug 2005 19:40:15 -0400
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Kay Hoover and Barbara Wilson-Clay call this a "dimpled nipple" in their 
excellent I-have-no-interest-in-it-but-you've-simply-got-to-own-it 
Breastfeeding Atlas, now in its third edition.

At pp 56-59, they write, "The dimpled nipple is a form of nipple inversion 
in which the tissue inside the fold can become adhered.  [A]dhered skin is 
very fragile compared to skin that receives a normal amount of light, air 
and friction from clothing.  When the nipple folds back on itself after BF 
or pumping, moisture is often trapped in the dimple, causing maceration.  
[I]t is important to hold the dimpled nipple in a retracted position until 
it has dried.  Applications of topical antibiotic and antifungal creams may 
be ... used to protect the skin from infection.  [O]ver time, and with 
repeated exposure to light and air, this tissue becomes less fragile, 
although good hygiene remains important in order to keep the area clean of 
debris."


Liz Brooks, JD, IBCLC
Wyndmoor, PA, USA

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