Hi Pat,
 It's been quiet on the vasospasm front here in NY lately as asymmetric
latch is starting to catch on more, but last year I saw zillions of
them.  I definately see a correllation between babies who have tongue
ties or short jaws and small tongues and vasospasm in mom, unless the
latch is perfect.  Moms who have Raynaud's also seem to be more
vulnerable.  I usually work on asymmetrical latch, recommend warming the
nipple (someone on Lactnet recommended rice socks, and that's a great
tip), pumping and bottle feeding a few times a day if necessary, and
speak to the doctor about nifedipine if good latch does not take care of
it immediately, or if the baby is not yet capable of sucking without
compressing the nipple.  I find if they hang in there, the pain
disappears by about 12 weeks postpartum in most cases, even if the
nipple still blanches.

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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