Have mothers permission to post.
  A patient I recently worked with  presented with the following history:
4 th baby,. Had attempted to breastfeed last two infants without sucess.
Both cases, even with lactation support there was never any suggestion of
expressed colostrum or milk despite nursing/pumping. In both cases though
mom got engorged when she pumped or nursed all that ever was seen was
frank bleeding.
 This delivery- started working with mom immediately. Babe with excellent
latch but never could elicit even a hint of moisture/colostrum even with
pump. Engorgement set in and continued nursing/pumping only elicited
blood.  I talked with the OB and we were able to get an ultasound done.
Rqadiologist report showed no ductal outlets. Filled sinuses/ milk streaks
were present and tracable but ended at nipple base.
 Is this Athelia? The mother has an areola and what appears to be an under
formed/ immature nipple area.......
 Mom has kindly given me permission to use the films and do a case study
but I am unsure if this is what is classified as " athelia" ?   Kittie
Frantz or someone... can you answer this question for me?
Thanks
Lisa Jones RN IBCLC

             ***********************************************

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(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html