Dear Crystal, who is to say you did anything wrong? The theory of how that 
one breast/nipple drains poorly causing the abscesses would only make sense 
to me if she was not able to pump much out of that breast but could get lots 
out of the other. I would also like a test weight done at each breast to see 
how much baby was removing before I blamed poor drainage.

Your description of the nipple sounds like  dimpled nipple, and The 
Breastfeeding Atlas has photos of these. I have the mom hold it open after 
nursing, try to dry it a little bit, and put something (Lansinoh, 
polysporin, bactroban) inside the dimpled area so it doesn't keep sticking 
together and ripping apart each time she nurses or pumps. They can look 
pretty bloody at first as the open, then close, and rip up the skin each 
time it reopens. Eventually the dimple forms new skin and the problem is 
solved. The Lactation Institute sells a dimple ring that held the nipple 
open so the inner skin dried up and didn't continually remesh after 
feedings.

The first thing that came to my mind is perhaps an MRSA infection -- we are 
having a lot of them around here (both mastitis, c-section infections, and 
things people get from locker rooms, etc.). I would also think this because 
the infection started so early perhaps she acquired something nasty in the 
hospital. This seems so quickly spreading and early to be just normal 
infection.

Kathy Eng, BSW, IBCLC 

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