What? When I open it I get the nipple pain algorhythm….. Just double-checked.
Amy
> On Jul 11, 2017, at 5:52 PM, Laura Monin <[log in to unmask]> wrote:
>
> Re: Gwen Stefani weight loss?
>
> Sent from my iPhone
>
>> On Jul 10, 2017, at 6:48 PM, Amy Wagner <[log in to unmask]> wrote:
>>
>> Sorry for the late reply. I have found the protocols for nipple pain from UNC helpful.
>> https://www.mombaby.org/wp-content/uploads/2016/04/PainProtocols.v3.pdf
>>
>> Take care,
>> Amy
>>
>>
>> Amy Wagner, BS, RN, CCES, IBCLC
>> Hershey PA
>>
>> Sent from my iPad
>>
>>> On Jun 27, 2017, at 7:50 AM, Nikki Lee <[log in to unmask]> wrote:
>>>
>>> *Hey All - I have a mom who reached out to me and is having her 3rd baby.
>>> She struggles with odd nipple pain almost immediately after delivery, but
>>> it does not present as vasospasm. I said I could reach out far and wide and
>>> see if my colleagues have any comments or suggestions. Pain does not occur
>>> with pumping. If anyone is on lactnet, please post for me, tell me what
>>> bounces back. I asked her for her history to share, here it is:*
>>>
>>> *Patient A:*
>>>
>>> Nipple/breast pain history:
>>> 2012- had child 1, fed at breast in hospital, day 2 needed to pump because
>>> engorged. Went home and had to pump first then feed baby due to too fast
>>> letdown. After day 4 called LC because feeding felt like glass was being
>>> pulled from nipples during latch on, off and during. Was treated with 30
>>> days diflucan. Would try again and within one day pain was back.
>>> Ended up just pumping for a year and bottle feeding. Tried throughout that
>>> time again and would immediately get itchy breast tissue and sore nipples
>>> again.
>>>
>>> 2014- baby 2. Fed at breast upon birth and within hours areola was swollen,
>>> hot, painful to touch. Too painful to feed. Started on pump. Tried salt
>>> soaks, sunlight and air. No help. Triple nipple cream never helped. Treated
>>> with diflucan again, no help and went to pumping for 9 months.
>>>
>>> 2017- baby 3 arrives in Sept. as of right now I have sore nipples when a
>>> shirt or towel brushes them. No breast pain. Nipples have a little white on
>>> tips that can almost be picked off. When in wet bathing suit breast tissue
>>> becomes itchy for a few hours.
>>>
>>> Health History:
>>>
>>> Surgeries-
>>> Two c sections
>>> Tonsillectomy
>>> Nasal/sinus surgery
>>> Gallbladder out
>>>
>>> Overweight, but good health. No diabetes, no high bp, normal cholesterol.
>>> Seasonal allergies; Allergic to:
>>> Sulfa; Latex (lanolin is derivative), get itchy skin.
>>>
>>> Skin history- sensitive skin. Prone to yeast on c section incision. Can get
>>> Eczema in winter.
>>>
>>> Gyn history:
>>> Regular periods, on pill for 10 yrs, 3 miscarriages, 2 healthy children.
>>> Expecting 3rd. One sexual partner. Was strep positive at time of second
>>> birth.
>>>
>>> Donna Sinnott, BBA, IBCLC
>>> www.peacelovebreastfeeding.com
>>>
>>> --
>>> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
>>> Reviews Editor,* Clinical Lactation*
>>> www.nikkileehealth.com
>>> https://www.facebook.com/nikkileehealth
>>> *Communications are confidential and meant only for whom they are
>>> addressed.*
>>>
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