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Subject:
From:
"Johnson, Martha (Lactation-SHMC)" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 20 Dec 2002 15:02:13 -0800
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> Hi to all in general - and Jean C in particular (my guru of obscure
> lactation knowledge):
> I have been in practice over 10 years and just saw a first.  please let me
> know if you have seen anything like this, and what it might be.
>
> Mom is a healthy young primip, baby born at home 4 1/2 weeks ago after a
> longish push and delivered OP.  Mom and midwife report baby was fussy for
> a few days at first, head seemed sore.  Mom's nipples have been sore from
> day 1.  Weight gain for baby has been fine, about 2 pounds the 1st month.
>
> Problem 1: I sent them for craniosacral therapy b/c:
> *     mom's nipples have a classic white compression stripe when baby
> releases breast from mouth
> *     digital suck exam finds baby's use of tongue is not fully
> coordinated, and that jaw motion is more chomping than stripping on the
> breast
> *     Feedings are long, averaging an hour
>
> Problem 2: potential yeast.  No visible symptoms, but mom reports nasty
> shooting pains inside her breast, onset 2 weeks ago.
>
> Problem 3, (this is the stumper):
> *     mom reports bruising around the margin of the areola, top half only,
> both breasts.  No accompanying symptoms of illness for mom, no bruising
> elsewhere on her body, no changes in baby's feeding behavior.  Usual
> feeding position is cradle, so the bruises are not underlying the baby's
> jaws.  Also the bruises were outside the area where baby's mouth contacts
> the breast.  by the time of our visit, the bruising had resolved, I could
> still see faint shadows of it, though.  mom did have mastitis about 2
> weeks ago and was successfully treated by home birth midwife with herbal
> poultices and homeopathic poke root.  When I heard this symptom report
> over the phone, I thought maybe she had an abscess, and I had her come in
> ASAP.  But it is definitely not an abscess.  Any ideas, gang?
>
> Thanks in advance from
> Martha Johnson RN IBCLC
> Eugene Oregon
> I need a personal response, please.  I cannot keep up with Lactnet's
> volume!

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