Hi Everyone,

I am working with a mom that is 3 days post cesarean birth, wide-flat 
nipples and engorged. The baby is not able to maintain a latch to the 
breast even after softening the areola by hand expression. I gave her a 
ameda elite pump to use and after 3minutes no milk let-down so I taught her 
hand expression.

I have had this issue with mothers before. Engorged breasts and no relief 
from the pump. Any suggestions?


Is there any research supporting the use of saline for sore nipples?

Thank you

Tamara, NYC

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