I appreciated all the comments on received on several moms I've seen who seem to have an aversion to breastfeeding. I'm not sure that at least with the current mom I'm seeing I'll be able to change her mind, but I am working on understanding where she's coming from and providing "positive propaganda." Now I have another question. I have a mom with 7 week old infant. Mom and baby had a rough start, baby is #3, mom planned 2nd VBAC with this one. Had prolonged rupture of membranes, developed chorioamnionitis and fetal distress, we decided on emergency c-section, but baby decided to come vaginally on the OR table, just before starting anesthesia. Baby was initially sleepy, had several apneic episodes, poor latch. Mom and baby were treated with IV antibiotics due to chorioamnionitis. Mom's first two breastfeeding experiences complicated by inverted nipple on one side, and used nipple shields. After first couple of days, baby latching very well and started to gain appropriately. Mom was thrilled to not have to use a shield with this baby. Shortly after discharge, mom and baby developed thrush, fortunately picked up right away by our IBCLC doing a home visit. I treated with long course of Diflucan and symptoms resolved. Meanwhile baby gains very well. Now for the last 2 weeks, mom complains of pain with letdown only. No nipple soreness, no pain throughout feeding, but she describes letdown as being painful enough to bring tears to her eyes. She has noticed less pain when breast is less full, but does not have any engorgement. Breast exam at this point appears normal, baby is 3 lbs over birth weight and has no evidence of thrush. The pain on letdown is throughout both breasts, worse in the upper areas of both breasts. Any ideas? Mom is very dedicated and did not make it this long with exclusive bfing with her other 2, but she would prefer to be comfortable if possible! Jennifer Tieman, MD Family Physician Mom to 3, and new baby #4 expected 5/31/03 *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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