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Subject:
From:
Teresa Pitman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 28 Dec 2003 10:35:10 -0500
Content-Type:
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My observation is that this kind of pain happens most often when the initial
latch is not good and the baby is sucking the nipple into position. I will
talk with the mother who is experiencing this about where the nipple needs
to be and how to "place" the nipple in the baby's mouth rather than letting
the baby yank it in.

I have sat beside many mothers and said "wait, wait, wait" to get her to
wait until the baby's mouth was open wide enough. Often these mothers think
the baby's mouth is open wide, but it really isn't at all, and it helps if I
sit with them and point out when the mouth is really opened wide.

I also find it helpful to use a "folding the nipple in" technique. The
mother's nipple is pointed up at the baby's nose, and the baby's mouth is
stimulated not by touching with the nipple but by touching/rubbing with the
breast below the nipple. Then if the baby tries to "suck the nipple in" he
can't, because it isn't there! When his mouth is open really wide - and it
seems to open wider in response to the feeling of the curve of the breast
against it - then the mother presses against the top of her breast and
gently pushes the breast area just below the nipple into the baby's mouth,
so that the nipple/areola is folded at first then "flipped" into the baby's
mouth. Because the baby's mouth is open very wide at this point, and the
breast goes into his mouth, the nipple generally lands fairly well back in
his mouth and there is no painful pulling into position.

I hope this description will make some sense. I didn't get much sleep last
night so I'm not feeling very coherent.

You may want to suggest the mother try some different positions, too, to see
if they help.

Teresa Pitman
Guelph, Ontario

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