About 2 months ago I posted about two mothers: #1 had sore nipples that were not healing despite our best efforts on all fronts. The only thing not done may have been the most pertinent thing to do: her nipples were never cultured. Baby didn't deform her nipple in any way, but the nipple tips stayed badly eroded and simply didn't heal. Neither topical nor systemic treatment for thrush or Staph aureus helped. What finally worked was just plain time. The mom hung together (barely) for about 7 weeks, by which point the damage was nearly healed and the pain was entirely gone. She had major problems with her first baby as well, which ultimately resolved around 6-8 weeks. I had assured her that this time couldn't *possibly* be as bad... #2 was a diabetic mom who had pneumonia when she delivered her 2nd child. First was breastfed into toddlerhood, though with not-quite-adequate supply in the early months. But this time she couldn't even express drops. She's now feeling much better, is breastfeeding with a supplementer, has recently started Domperidone. Her supply has risen, in the past 6 weeks or so, from hand expressing nothing to hand expressing drops to being able to hand express one or two tiny spurts. The pump still produces nothing. Her insulin needs remain about half of her usual and she still doesn't have the "dawn phenomenon", or early-morning rise in blood glucose, that is normal for all of us and was always normal for her. Something's still out of whack somewhere. But life proceeds... -- Diane Wiessinger, MS, IBCLC Ithaca, NY www.wiessinger.baka.com *********************************************** 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