On Wed, 1 May 2002 07:11:31 -0500, Jim & Winnie Mading <[log in to unmask]> wrote: >(If I am stating something that's already been said, I apologize-a >little behind on reading LN) > >Jan, How frustrating! Why is it that the moms with physical barriers to >breastfeeding are the ones who want to and the moms with seemingly >perfect anatomy for nursing are so often the ones that don't want to >have anything to do with it?! > >You mention trying a nipple everter. Are you using the commercial one >or an adapted syringe (needle end cut off and the plunger inserted from >the "wrong" side). I have found that the softer rubbed end of the >Evert-It is too gentle in some cases. I have not used the Nipplette. >In some cases it seems the firmer edge of the syringe flange focuses the >pull better. Depending on the diameter of her "nipple", you might try >both a 12cc and a 20cc syringe. We find the 20 the best fit most of the >time. > >If inverted nipples are caused by adhesions in the breast as some have >speculated, it would make sense that the adhesions may also "seal off" >duct openings. If they are genetic, one might conclude that if there is >one anomaly, others in the same organ are certainly possible. > >I have had some moms whose lactogenesis takes more that a couple days >and where we are unable to get ANY EBM for the same several days. Was >she on MgSO4? Is it possible that the initial fullness you noted is the >swelling that often accompanies the lactogenesis for a few days and not >the milk volume yet? I would give it a few more days before concluding >that it's not going to work-possibly using a supplementer in the >meantime. My theory is that the more different a mom's nipples are from >a bottle nipple, the greater the risk for possible "confusion". While >waiting to see if she will be able to "deliver" milk, I would definitely >opt for cup feeding if baby won't take the supplementer so baby doesn't >catch on to the fact that nipples usually go back in the mouth. > >An extreme thought: I remember reading somewhere about a procedure to >test for cancer in milk ducts by skillfully inserting a needle into the >duct through the nipple pores. (OUCH) I can't quite picture how it's >done without puncturing the tissue-must be a somewhat blunt needle tip. >Could the same procedure be done (by someone skilled in it) to determine >if the ducts connest to the outside? If that's possible, I even wonder >if such a procedure might "open up" the connections. > >Please keep us posted-this is a new one on me. > >Winnie > > *********************************************** >The LACTNET mailing list is powered by L-Soft's renowned >LISTSERV(R) list management software together with L-Soft's LSMTP(TM) >mailer for lightning fast mail delivery. For more information, go to: >http://www.lsoft.com/LISTSERV-powered.html There is a wonderful site that explains all about Ductal Lavage. click on the url to see http://www.susanlovemd.com/lavage_frames.html Besides line drawings, there is a video to view. Warmly, Marguerite *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html