This is keratin on the nipples that seems to break off in little granules? I remember a mom who never questioned it, just breastfed. Baby was in Level II but able to breastfeed. Baby spit some out, swallowed some, kept on nursing. Some came off in the pumped milk, eliciting a "yuck" factor from the nurses. I suggested skimming off the granules and using the milk. They would have plugged the bottle nipple anyway.

By discharge, nipples were cleared, skin looked normal. Mom reported mild sensitivity, but I didn't observe any nipple distortion at the end of the feed. Mom had BF'd a baby before, apparently w/o problems.

I have seen this twice. Both were black moms. Don't know if that is of any relevance. The second mom did essentially the same thing, but paid more attention to her nipples in the shower - she reported - once baby started the softening process.

No information on differences in diapers during these first two days.

Phyllis


---- Angela Love-Zaranka <[log in to unmask]> wrote: 
> Posting for Terri Lear:
> 
> I am working with a mom, pregnant with second baby, due in August. She 
> could not breastfeed the first one due to (possible, but never officially 
> diagnosed) nevoid hyperkeratosis and it’s back. She’s all crusty and yellow on 
> the tips of her nipples and wants to do whatever she can to increase her 
> chances of successfully breastfeeding. Her dermatologist is squeamish about 
> looking at her nipples and gave her a steroid cream to apply which she says 
> only makes it worse. Any ideas? Please send private emails to 
> [log in to unmask] Thanks.
> 
> Terri 
> 
> Terri Lear, BA, IBCLC, RLC
> Breastfeeding Solutions, LLC
> 
> "Be the change you wish to see in the world."--Mahatma Ghandi
 
--
Phyllis Adamson, IBCLC, RLC
Glendale, AZ.
[log in to unmask]

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]