I have to agree with Nurse Cotterman here, fact is most women report some degree
of nipple tenderness in the first two weeks ( see Freeman & Lowe from JOGNN
22:5, 1993). We are not helping the situation by pretending this doesn't happen.
What would help would be to teach moms the difference between normal discomfort
and true nipple damage..... and to teach them how to handle both. nader is
correct in saying that the ABM companies are all to ready to offer the solution
to this second most common of problems.

I use a pain scale description to distinguish between normal discomfort and true
pathology...and also an assessment of the nipple post feeding.


Susan Keith-Hergert RN, MS, CPN, IBCLC
Mercy Health Partners
Cincinnati

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