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Subject:
From:
Jeanette Panchula <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 22 Aug 2000 22:45:09 -0400
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I have just been to the hospital in our area, shadowing one of the
Lactation Support Specialists (RNs who are hired for 4 hours a day to see
bf moms and make phone calls - I know, this is not enough time, but it's a
start!).

One mom we saw had a question that I could not answer.  

During the breastfeeding of her first child she developed some extra tissue
at 2 o'clock at the border between her areola and her breast skin of her
left breast. If it were exuding milk, I would almost think of it as a
bifurcated accessory nipple.  But it (they) is not releasing anything. 
Each section of tissue is about 1 cm long, 1/2 cm wide and 1/4 cm thick and
they are attached to her areolar skin by a base about 1 1/2 cm.  They are
the color of the areola skin.  I could not see or feel any ductwork or any
glandular tissue that appeared to be connected with them.  She said it did
not shrink between pregnancies and she is worried that it may be a problem.
 Due to language barriers (she only speaks Spanish), she had never
mentioned her concern to her MD prior to delivery.  There seems to be no
pain (of course, she just delivered, so I don't know if there will be some
once the breasts are fuller or engorged), though she did have sensation
there. 

Could these be skin tags?  I've only seen a few of these, and they've
always been very thin.  If she's not careful, I could see the baby latching
on and sucking them by mistake.

I did ask the nurse to write a note to the OB asking for an evaluation, but
thought I'd ask you...

Jeanette Panchula, RN, IBCLC
Vacaville, CA

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