I have seen something a few times and am curious if the connection I'm 
making is one others have made, or perhaps just coincidental to the times I've 
seen it.  I've seen several moms with extremely elastic nipple and areolar 
tissue and with babies who don't transfer milk well at the breast.  The times 
I've seen this has been when a mom comes to me for a baby who is fussy and 
pulls off frequently at the breast, acting very much like there is no/little milk 
flow. The babies have had mouths full of breast tissue, I don't see how they 
could have gotten a deeper latch.  Wondering if it's a flow concern, I've had 
the moms pump and they've pumped quite a bit.  Then, when baby has 
relatched with mom's milk available via tube at the breast, the babies easily 
transferred the milk, and were not fussy with the more readily available milk.

My thoughts are this.  I know that technically we now know there are not milk 
sinuses per se.  But there was a time when, believing there to be milk sinuses, 
part of our understanding of latching a baby was to make sure the baby 
latched deeply enough to reach the milk sinuses.  If we were still using the 
term 'milk sinuses' my thoughts would be that these particular moms had milk 
sinuses that were farther back than the baby could reach, and with their very 
elastic breast tissue, babies cannot get deeply enough onto the breast.  The 
few times I've seen this connection with extremely elastic breast tissue, the 
babies had excellent sucks, and transferred milk very easily via sns, 
simultaneously transferring more milk total than was actually in the sns (which 
might throw a wrench in my 'milk sinus' theory.

Just curious if anyone else has noted a similar connection.

Casey Clubb, RN, IBCLC
West Linn, OR 

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