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Date: | Sun, 22 May 2005 07:30:05 EDT |
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In a message dated 5/22/2005 12:03:38 AM Eastern Daylight Time,
[log in to unmask] writes:
If a woman has
shorter nipples with less connective tissue and/or muscle in the nipple
button itself, combined with shallow sinuses, I envision that she would
tend to leak more easily. In fact, I believe that is the explanation for
some mothers I have seen that find leakage a problem in the last
trimester of pregnancy. It doesn't take much stimulation of say, a sheet
rubbing across the nipples, or a mild Braxton Hicks contraction to elicit
a mild MER and start them leaking. I have counseled them that wearing a
soft sleep bra seems to reduce the tendency by muting the stimulation.
Dear Friends:
As always, I am amazed with Jean's breadth of knowledge and thought
regarding anatomy and physiology.
What about the primalacta, who leaks with a first baby during the early
postpartum, and not with subsequent babies? Is there some structure that
learns or modifies during the course of subsequent lactations?
For some reason, I am reminded of whales whose MER pumps the baby full
very quickly. Not that we could ever study whale nipples.
Other nipple trivia: manatees have nipples in their armpits; mamma
manatees that are rescued by being roped under their flippers sustain nipple
damage.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
Support the WHO Code and the Mother-Friendly Childbirth Initiative
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